Patient Forms

Patient Forms

We value your time. We want to make your experience at Bay Area ENT Specialists a pleasant one. Completing these forms prior to your visit will shorten your registration time.

New Patients, or any patient not seen in our office within 3 years will need to complete these forms.

Please click on the file below to download the forms.

Pre-Visit Questionnaires

These questionnaires are helpful for your provider to accurately diagnose and treat your ENT problem. If you are experiencing any sinus related symptoms, dizziness/lightheadedness, or snoring/sleepiness please choose the correct form(s) to complete prior to your appointment.

Please click on the file below to download the forms.

Medical Records Release

**Charges may apply. Please contact us for details. Cash payments are not accepted.


Authorization for Disclosure/Release of Medical Records form must be completed before records can be released. Please note: State law allows 15 days from the date of a valid request (signed by the patient or legal guardian) for records to be released.

Completed forms can be sent to: Fax 281-525-4183 or frontdesk@bayareaentspecialists.com