Get ready for your visit!
The professional and friendly staff of Memorial Village Sinus and Hearing is excited to welcome you. To ensure you receive the best care and attention, it is crucial that you gather and complete the patient forms thoroughly. If you are a new patient or if your last visit was over 3 years ago, you will need to fill out several forms. To reduce your wait time, please click on the New Patient Registration Form below and input the required data before your visit. The form will be sent to us electronically once you have completed it.
New and returning patients can also complete the following health questionnaires often required at their appointment. Please print out the completed questionnaires and bring them with you to the office.
Patient Questionnaires
- Nasal Obstruction Symptom Evaluation (NOSE)
- Total Nasal Symptom Score (TNSS)
- Sino-nasal Outcome Test (SNOT-22)
- Eustachian Tube Dysfunction Questionnaire (ETDQ-7)
Notice of Privacy Practices
Memorial Village Sinus and Hearing is committed to protecting your health information. This privacy notice describes how health information about you may be used and disclosed as well as how you can get access to this information. Please review it carefully.
