Patient Forms
Get the Most Out of Your ENT Consultation
Please fill out these forms and print them to bring with you to your appointment.
We encourage you to fill out your paperwork prior to your appointment—it can help save you time when you check in to our office, spur important conversations between you and your loved ones, and get you thinking about your ENT health goals.
To fill out your patient form prior to your appointment, click the link to download the form(s) you need.
New Patient – ENT (Dr. Renee Walker)
If you are a new patient seeing Dr. Walker, please download our New Patient Registration and Health History form to bring with you to your first appointment. Having this paperwork already in hand and filled out will greatly reduce the amount of time you will spend in office before you can be seen.
New Patient Registration and Health History
New Patient – Audiology (Dr. Suzanne Long)
If you are a new patient seeing Dr. Long only, please download the Registration and the appropriate Audiology Case History form to bring with you to your first appointment. If your child is 14 years of age or older, please fill out an adult history.
Audiology Case History – Adult
Audiology Case History – Pediatric
New Patient – Contour ENT Aesthetics (Ginnie Grimm, RN)
If you are a new patient seeing Ginnie Grimm, RN with Contour ENT Aesthetics, please plan to complete any required registration or intake forms prior to your first appointment.
Filler Intake Form
Filler Consent Form
Botox Intake Form
Botox Consent Form
Microneedling Consent Form
Financial & Scheduling Policies – New & Existing Patients
Surgery – Financial Responsibility
Surgery – Scheduling Policy
No-Show Policy
Pre-Op & Post-Op Instructions
Knowing what to expect before and after your procedure can make a big difference in your comfort and recovery. Use the links below to review helpful instructions and tips designed to make your experience smooth and stress-free.
Frequently Asked Questions
Surgery & Procedures
Your Health Deserves Expert ENT Care
From better hearing and improved sleep to allergy relief and younger-looking skin, our team is here to help every member of your family feel their best. Discover compassionate ENT care right here in your community.