You may complete the new patient forms before your office arrival. Please print the forms and bring them with you to your appointment or save them as a PDF file and email the file to [email protected] The forms can also be faxed to (702) 853-6787. Our practice requires that these forms be completed once a year to ensure the accuracy of your information.
- Patient Demographic Form
- Health History
- HIPAA Disclosure
- Insurance Responsibility Form
- In Office Procedure Insurance Form
- SNOT 22 Questionnaire
- If you have a medication list, please bring it with you to your appointment.
It is important to let us know if you have any changes to your health history, so please notify us of any changes in medications, surgeries, or been diagnosed with other medical conditions since you’re last visit.