New Patient Forms
New Patients: Save time and avoid delays when you pre-register online using the form below. If your appointment is within 72 hours, you must call or fax your pre-registration.
Please do not wait to register at check-in on the day of your appointment, it can delay your appointment by 15-20 minutes.
Register by phone
- Please call ARC Central Registration at 512-407-6446.
- Have your personal information, including current health insurance, ready.
Register by fax
- Download our New Patient Registration Form.
- Completely fill out the form and follow the instructions at the top of the page before faxing in to ARC Central Registration at Fax Number of ARC Central Registration512-406-6228.
We Want To Hear From You
*By using this form to communicate with austin Regional clinic (ARC), the information will be transferred over the internet. ARC uses Transport Layer Security (TLS) encryption in order to secure the information you send to us over the internet. There may be times when we cannot respond to your request in email format and another method of communication will be used. For your privacy, please consider the information you include, and who, besides you, may have access to your email account.