General Information

Please visit our central patient information page for information on insurance, pay online, billing, hotel/motel guide, customer service, privacy practices (HIPAA), and forms including general health, Authorization for Release of Protected Health Information (medical records), and Patient Relationship Agreement.

Otolaryngology Forms

Dr. Kenneth Altman and Dr. Julina Ongkasuwan
New patient forms - McNair Campus

Dr. Krista Olson
New patient forms - Facial Plastic Surgery Center

Dr. Donald Donovan, Dr. K. Kelly Gallagher, Dr. Andrew Huang, Dr. Eddie Liou, Dr. Robert Parke, Dr. Mas Takashima and Jordan Garner, NP
New patient forms - Smith Tower

Dr. Alex Sweeney, Dr. Jeffrey Vrabec and Lauren Duerst, PA
New patient forms - Center for Hearing and Balance

Dr. Lauren Placke and Dr. Michaela Stapp
• Audiology Case History Intake Form

Balance Testing and Therapy
• Balance Center Questionnaire