Patient Forms

Platinum Ear, Nose, and Throat welcomes you to our practice.

You may access the following forms to assist us with your care. Please print and fill out the New Patient Forms and bring them with you to your appointment.

New Patient Forms

If you would like for medical records to be sent to another provider on your care team, please print and fill out the Medical Records Request and return to our office so the request can be processed.

Medical Records Request
Share by: