patient health history formpatient forms

 

Our practice requires that these forms be completed for your first visit and once a year to ensure the accuracy of your information.  You may complete these 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 them to [email protected] The forms can also be faxed to (702) 853-6787.


If you have been treated for a sinus or allergy problem, we would like to obtain a copy of your medical records for Dr. Sikand to review.  Due to privacy laws, we will need a form signed to obtain them.


Above all, it is important to let us know if you have any changes to your health history.  Please notify us of any changes in medications, surgeries, or been diagnosed with other medical conditions since you’re last visit.