Please click on each New Patient Form icon below to download an Adobe Reader® file of that form. Print, fill out and return the forms with you at your first appointment.  If you don’t have Adobe Reader on your computer, click here for a free download:

New Patient Forms

Welcome Letter

Registration Form

Financial Policy

Adult
Health History

Pediatric
Health History

Payment for In-
Office Procedures

Records Transfer Form

Record Release

Pre- and Post-Operative Information

Surgery
Scheduling

Surgery Instructions ACH-Outpatient Surgery Center

Ear Tube
Information

Ear Tube Post-Op

Tonsillectomy & Adenoidectomy Post-Op

Tonsils and
Tonsillectomy