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CareCredit

Patient Forms

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.

New Patient Forms

Welcome Letter
Welcome Letter
Registration Form
Registration Form
Financial Policy
Financial Policy
Adult Health History
Adult
Health History
Pediatric Health History
Pediatric
Health History

Records Transfer Form

Record Release
Record Release

Pre- and Post-Operative Information

Surgery Scheduling Inquiry
Surgery
Scheduling
Surgery Instructions
Surgery Instructions ACH-Main Operating Room
Surgery Instructions ACH Outpatient
Surgery Instructions ACH-Outpatient Surgery Center
Ear Tube Information
Ear Tube
Information
Tympanostomy Tubes
Ear Tube Post-Op
TandA
Tonsillectomy & Adenoidectomy Post-Op
Tonsils and Tonsillectomy
Tonsils and
Tonsillectomy