Please print out and complete the appropriate form(s) prior to your appointment.
Reason for Appointment
|Patient Registration||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|
|Business Practices (short)||All Patients|
|Business Practices (Spanish)||All Patients|
|Notice of Privacy Practices (short)||All Patients|
|Office and Financial Policies||All Patients|
|Office Financial Policy||All Patients|
Note: The free Adobe Acrobat Reader is required to view and print these documents.