New Patient Forms
(All of the forms in this section should be completed and brought to your first visit)
Patient Information Demo Sheet ENT
Patient Interview Form
Notice of Privacy Practice
Financial Responsibility
Other Forms
Medical Release Form
Authorization for Release of Information
Allergy History Form
Allergy Skin Testing Information Sheet
ResurFX Patient Log
Stellar Treatment Log
Skin Typing Assessment
Photo and Video Release
Consent Forms
Consent Form (General Consent Form)
TNE Patient Form (Transnasal Esophagoscopy Form)
Consent Form – Tonsillectomy
Consent Form – Septoplasty
Consent Form – Sinus Surgery
Consent Form – SML
Consent Form – Allergy Testing
Consent – ResurFX
Consent – IPL