Patient History Forms
New patients (and established patients who have not been seen in over 3 years) need to fill out our Patient Health History Form. You can easily fill out this form via our Patient Portal, which adds your form directly to your chart, saving you time at your visit. The Portal requires a username and password, which our office staff can help you obtain.
Forms can also be downloaded, but you must have Adobe Acrobat Reader.
- Download our New Patient Health History Form.
- Download our HIPAA Acknowledgement Form.
- Download our Financial Policy.
For more information about a variety of ENT problems and how to manage them, visit Pinnacle ENT’s Patient Education page to view articles and videos.