Patient Forms

Patients who are new to our practice need to complete a History Form and a Patient Information Sheet. Patients who have been previously seen at our practice need to complete the Patient Information Sheet every 6 months or if any information has changed. Also for patients who have been previously seen at our practice, you will need to complete a History Form if you have not been seen in our office any time prior to June 2015 or if you are being seen for a new reason.  Thank you for your cooperation.

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AdultHistoryForm
History Form

PatientInformationSheet
Patient Information Sheet - English

Patient Information Sheet - En Español

PrivacyNoticeEnglish
Notice of Privacy Practices - English

Notice of Privacy Practices - En Español

RecordsRelease
Records Release to Tucson ENT

Records Release from Tucson ENT