Patient Forms

Please download and complete the New Patient Form prior to your first appointment.

• New Patient Form

Please download and complete the Release of Medical Records Form when requesting medical records. This form can be mailed or faxed to Austin Ear Clinic.

• Release of Medical Records

The below forms need only be completed when requested by your Provider.

• Sinuplasty Consent Form
• ETD Consent Form
• Inferior Turbinate Coblation Consent Form
• Tinnitus Reaction Questionnaire (TRQ)
• Vestibular History Form
• Vestibular Testing Instruction Form

Please see below our Notice of Privacy Practices form.

• Privacy Policy