Patient Forms

Patient Forms

If you are a new patient and have never been to one of our clinics before, please print out the new patient forms below, fill them out and bring them with you to your appointment.

You can also email the completed forms to Info@NationalSinus.com.

Please be sure to bring your driver’s license and insurance card with you to every visit.

All documents are in PDF format and require a compatible program or device to open them.

Ear, Nose & Throat Patients

New Patient Paperwork| View PDF |  | Download |

New Patient Paperwork (Español)| View PDF |  | Download |

Allergy Patients

Allergy History Form| View PDF |  | Download |

Allergy Testing Preparation| View PDF |  | Download |

Consent for Allergy Testing| View PDF |  | Download |

Patient Financial Policies

Financial Policy for Insurance Patients| View PDF |  | Download |

Financial Policy for Cash Patients| View PDF |  | Download |

Surgical Information & Care

Pre-Op Sinus Surgery Information| View PDF |  | Download |

Pre-Op Anesthesia Preparation Instructions| View PDF |  | Download |

Postoperative Care Instructions

Postoperative Instructions for Ear Tubes| View PDF |  | Download |

Postoperative Instructions for Sinus Surgery| View PDF |  | Download |

Postoperative Instructions for Tonsillectomy| View PDF |  | Download |

Postoperative Instructions for Turbinoplasty / Septoplasty| View PDF |  | Download |

Postoperative Instructions for UPPP| View PDF |  | Download |

Postoperative Instructions for Wound Care| View PDF |  | Download |

Postoperative Instructions for RFA| View PDF |  | Download |

What Our Patients are Saying

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What Our Patients are Saying

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© Copyright 2013 - 2017 National Sinus Institute All Rights Reserved

© Copyright 2013 - 2017

National Sinus Institute

All Rights Reserved