Patient Forms

The forms listed here will help us better understand your needs and allow us to make your check-in as efficient as possible when you come for your appointment. If you can, please print the surveys and fill them out before your first visit or if you prefer, we are happy to provide them for you to fill out when you arrive, if that works better for you.

New Adult Patient Form (2016)                                                                                                                                        New Patients Under 12 (2016)
Albany ENT Privacy Practices
Insurance Information
Copays In The Office Following Surgery
Dizziness Questionnaire
Headache Questionnaire
Snoring Questionnaire 
Sleep Apnea Questionnaire
Food Allergy Questionnaire
Chemical Sensitivity Questionnaire
Reflux Questionnaire
Inhalant Allergy Questionnaire
Chemical Allergy Questionnaire