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