ENT Otolaryngology Sleep Hearing Des Moines Iowa

Sinus Care
Pediatric Otolaryngology
Cancer Care
Thyroid / Parathyroid
Sleep Disorders
Hearing Services
Speech & Voice Care
Cosmetic Services

 

About your Visit @ ENT Clinic of Iowa, P.C.

Our office staff may ask you to print and fill out one or more of the forms below. This saves you time and helps us process your paperwork faster. Please contact us directly @ 515.267.1800 with any questions on these forms.

We want to answer as many questions at your visit, please prepare for this by bringing the following information to your first visit:

  • Health Insurance Card/Information
  • A friend or family member to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • CT Imaging (not just the reports - get the actual films)
  • Copies of records from doctors related to your sinuses/nose/allergies/lungs
  • Complete forms provided below
about your visit at ENT clinic of iowa


Forms Require Free Adobe Reader Software - download here if needed

New patient pack (includes all forms below)
New patient (adult) history form
New patient information (child and adult)
New patient (child) medical history
New patient consent form (adult or child) HIPPA
Notice of Privacy practices
Snoring questionnaire
Child sleep questionnaire

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