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 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

Authorization for Disclosure/Release of Medical Records form must be completed before records can be released. Please be aware that State law requires records to be released within 15 days from the date of a valid request signed by the patient or legal guardian.
**Charges may apply. Please contact us for details. Cash payments are not accepted.



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