Pages Menu
Categories Menu

Helpful Patient Information

Instructional Forms

Click the corresponding icon to view instructions in Microsoft Word .DOC or Adobe Reader .PDF format. You may download or print out information for your personal use.

Instructions For Vestibular Exercises.

Gastroesophageal Reflux (GERD); Laryngopharyngeal Reflux (LPR)

About your CT Scan.

Epistaxis (Nosebleed).

3-4 gram Sodium Restricted Diet.

Instructions for Allergy Skin Test Injections Treatment.

Instructions for Allergy Skin Test for SLIT (Sublingual Immunotherapy).

New Patient Forms

In order to facilitate your visit to Collin County Ear Nose and Throat we have made these Patient Forms available for download. Click the corresponding icon to view forms in Adobe Reader .PDF format. Please print out forms, complete them prior to your appointment, and bring them with you or fax them prior to your appointment. Fax Number (972) 985-1253.

Adult Ear History

Allergy Form

Child Ear History

Dizziness Study

Mouth, Throat and Neck Questionnaire

Nose and Sinus Questionnaire

New Patient Information

Records Release Form

Secondary Insurance Information

Sleep History Questionnaire

Medication List

Collin County ENT Brochure

Don’t have Adobe Reader? Click here for free download.