Patient Paperwork

Patient Paperwork

Patient Forms:

Please remember to bring the following Items to your appointment:

1. Insurance card and form of identification
2. Referral form from primary care physician (if your insurance plan requires it)
3. Patient forms:
   • New Patient Registration Paperwork
   • New Patient Registration Paperwork-Under the age of 18 years old (Minor)
   • Signed copy of our Arbitration Agreement
   • Allergy Drop Handout
   • Allergy First Injections Seminar Handout
   • Balloon Sinuplasty – Day of Procedure Instructions
   • Balloon Sinuplasty – Post Op Instructions
   • Ear Tubes Post-Op
   • Excision of Neck Mass Post-Op
   • Excision Post-Op
   • Frenectomy Post-Op
   • Medications to Avoid Allergy Testing
   • MSDL-Post-Op
   • T&A-Post-Op
   • Insurances Accepted (Most)