Forms & Policies

Thank you for choosing Texas Orthopedics for your orthopedic care.  Below are forms and information to assist you with your appointment and interaction with our team.

Medical Records

If you require a copy of your medical record or require the completion of a Disability/FMLA Form, please complete the associated form (links to forms provided below). Be advised that requests for medical records and requests to complete a disability form require separate authorization forms.

For any additional questions, regarding Release of Information or records for Continuation of Care please contact our office via phone at (512) 439-1000, then option 3.

Authorization to Release Medical Records

• From Texas Orthopedics to another health care provider or self.
• To Texas Orthopedics from your health care provider.
• Request for Disability/FMLA form.

---

Notice of Privacy Practices (HIPAA Statement)

• Notice of Privacy Practices

Financial Policy

• Financial Policy

Worker's Compensation Disclosure

• WC Disclosure

Prescription Policy

• Prescription Policy

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.