Patient Information
For Your Appointment
Forms
Information Sheets
Insurance Companies
The following forms may be downloaded for your convenience:
New Patient Form
Health History Form
Records Release Form (not yet available online, please call for us to fax it to you or fill out when you arrive for your visit.)
Dizziness Questionnaire
AUTHORIZATION AND INFORMED CONSENT FOR SURGERY/SPECIAL PROCEDURES
Consent to Surgery: Request for Administration of Anesthesia and for Performance of Operations and Other Procedures:
BILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE PLACEMENT (BMTT)
Direct Laryngoscopy and Biopsies (DL & Bx)
FUNCTIONAL ENDOSCOPIC SINUS SURGERY, POSSIBLE SEPTOPLASTY AND TURBINOPLASTY
SEPTOPLASTY and TURBINOPLASTY
TONSILLECTOMY and ADENOIDECTOMY
THYROIDECTOMY, PARATHYROIDECTOMY
TYMPANOPLASTY and OSSICULAR CHAIN RECONSTRUCTION
UVULOPALATOPHARYNGOPLASTY (UPPP)