Patient Forms

Before your first visit at P & A Associates, ENT, please print and fill out the forms marked below with an asterick (*). To expedite your check-in process, please bring these forms to your first visit.

1. Patient Information Sheet *
2. HIPPA
3. Privacy Practices Acknowledgment *
4. Health History Form
5. Medication + Allergy Form *
6. Insurance Authorization/Assignment *
7. Disclosure to Family Members and Friends *
8. Directions Sheet