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Patient Forms

Please print out and complete the appropriate form(s) prior to your appointment.

Form Reason for Appointment
Welcome To Our Office New adult and child patients
Adult Health History New adult patients
Childhood Health Survey New child patients
Sleep Questionnaire for Children Children being seen for snoring
Sino-Nasal Evaluation Patients being seen for nasal and sinus problems
Epworth Sleepiness Scale Adult patients being seen for snoring
Dizziness Evaluation Adult patients being seen for dizziness

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San Luis Obispo Office:
895 Aerovista Place, Suite 103
San Luis Obispo, CA 93401
Phone: (805) 541-2368
Fax: (805) 541-2553
Arroyo Grande Office:
268 S. Halcyon Rd.
Arroyo Grande, CA 93420
Phone: (805) 481-1368
Fax: (805) 481-8013
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