Patient Forms

Thank you for selecting ENT & Allergy Center of Austin with three locations in central Texas for your allergy and ear, nose, and throat medical care. To schedule an appointment, please call us at (512) 328-7722.

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Downloadable Forms:

• New Patient Form *required for new patients
• Medical History Form *required for new patients
• HIPAA Release *required for new patients
• Medical Release Form
• Address Change Form
• Notice of Privacy Practices
• Allergy Form Packet
• Allergy Drops Daily Maintenance Schedule Sheet
• IOP Consent Form *required
• CPL Consent Form *required

Please note that you may scan and email your forms to us at rhiannon@austinentmd.com.

Surgical Information:

EAR

• Eardrum Repair (Mastoidectomy, Myringoplasty, Tympanoplasty): Post-Op Instructions
• Myringotomy: Overview | Post-Op Instructions

NOSE

• Balloon Sinuplasty: Patient Brochure | Backgrounder
• Functional Endoscopic Sinus Surgery: Overview | Post-Op Instructions
• Septoplasty: Overview | Post-Op Instructions
• Turbinate Reduction: Overview | Post-Op Instructions

THROAT

• Adenoidectomy: Overview | Post-Op Instructions
• Microlaryngoscopy: Overview | Post-Op Instructions
• Neck Mass Excision: Overview | Post-Op Instructions
• Neck Mass Dissection: Overview | Post-Op Instructions
• Parathyroidectomy: Overview | Post-Op Instructions
• Parotidectomy: Overview | Post-Op Instructions
• Sleep Apnea Surgery (Uvulectomy): Overview | Post-Op Instructions
• Sleep Apnea Surgery (Uvulopalatopharyngoplasty/UPPP): Overview | Post-Op Instructions
• Thyroidectomy: Overview | Post-Op Instructions
• Tonsillectomy: Overview | Post-Op Instructions

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.