Patient Forms

HIPPA Form

New Patient Forms

Release of Medical Records

Medical Records Request Fee

Authorization for medical treatment of minors

Authorization for use and disclosure of protected health information (coming soon)

Chronic Cough Form

Diagnostic Testing Information Sheet

General pre-operative (Pre-Op) Instructions

Medical Records Release Form

Medications to Avoid for Allergy Testing

Pre-Op and Post-Op Guide to Septoplasty & Turbinate Surgery

Pre-Op and Post-Op guide for Endoscopic Sinus Surgery

Pre-op-and-post-op-guide-for-ear-tube-placement-with-adenoidectomy

Pre-Op and Post-Op Teaching for Ear Tube Placement

Pre-Op and Post-Op Guide for Eardrum Repair – Tympanoplasty, Myringoplasty, or Paper Patch

Pre-Op and Post-Op Guide to Sleep Apnea Surgery

Pre-Op and Post-Op Guide for Tonsillectomy & Adenoidectomy Surgery

Self-treatment exercises for Benign Positional Vertigo

Self-treatment exercises for Benign Positional Vertigo – Additional exercises

Sinusitis questionnaire