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

Form

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
Notice of Privacy Practices (short) All Patients

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