On your first visit, please remember to also bring...

• --> Your insurance card.
• --> Referral form(s), if required by your insurance company.
• --> Copies of any x-ray films associated with your problem.

For your convenience we are providing the following forms for you to review, print and complete before your first visit. These forms are also available to you at each of our office locations. If you did not download and fill out the forms prior to your visit, please arrive at least 30 minutes earlier to fill them out at our offices.

To view or print these forms you will need the free Adobe Reader from Adobe Systems, Inc. installed on your computer.

New Patient Forms Packet - (Print & Complete all Forms)

• • Adult Patient History or Minor Patient History
  • Health History Form
  • In Office Procedure Consent Form
  • Insurance Office Policy
  • HIPAA Disclosure Authorization

Sinus Patients - please download and bring the following forms with you to your first visit

Adult Sino-Nasal Outcome Test (SNOT-22)
Pediatric Sinonasal Symptom Survey (SN-5)