Larry R. Thomas
Duane A. Lundeberg
Samuel G. Shiley
Christopher A. Hargunani
Beverly S. Schnabel
Otolaryngology - Head & Neck Surgery
New Patient Forms
Patient Medical History
Demographic and Insurance Information
Privacy Notice Acknowledgement
(Privacy Notice is available in the clinic)
We've provided links to various forms that are relevant to your medical care.
New patients:
To expedite your check-in process, please print and fill out the
forms below and bring them with you to your appointment.
You will need Microsoft Word to view the documents. If you do not have Word, you
can download a free viewer here:
Word Viewer Download
Surgery Instructions
Sinus Surgery
Rhinoplasty
Ear Tubes +/- Adenoidectomy
Septoplasty +/- Turbinate Surgery
Tonsillectomy