Forms

New Patient Forms

We looking forward to meeting new patients, and to make the best use of your time, complete the New Patient Forms prior to your child’s visit. Have the completed forms ready to turn in, along with your insurance card and your state issued picture identification.

New Patient Form

Medical Records Request

Surgical Patient Documents

To help prepare your child for this important procedure, these documents relay everything you need to know about the upcoming surgery. There are action steps before, during and after surgery, and being informed of what to expect is the best dose of prevention you can give your child right now.

Adenoidectomy

Adenoidectomy and Tonsillectomy

Tympanostomy and Tube Insertion

Privacy Policy

We are committed to maintaining the privacy of your medical records. Our Privacy Policy ensures the safety of your personal information and it confirms our procedures adhere to the Health Insurance Portability and Accountability Act (HIPAA). Notice of Privacy Practices

Documents for patients