Patient Forms & Resources

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.

• Complete forms via our secure Patient Portal.

Forms can also be downloaded, but you must have Adobe Acrobat Reader.

• Download our New Patient Forms.
• Download our New Patient Checklist (Exton).
• Download our New Patient Checklist (West Grove).
• Download our Notice of Privacy Practices.

Patient Education

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.

Allergy Forms

• Sublingual (Drops) Immunotherapy Consent Form
• Subcutaneous (Injection) Immunotherapy Consent Form
• Allergy Information with Diet Diary
• Environmental Control Measures
• Allergy Testing Packet

Worker’s Compensation or Accident Claims

If your insurance claim is accident-related or through worker’s comp, please fill out this additional form:

• Download Worker’s Compensation / Accident Claim Form

Office Policies

• View Our Office Policies