Download Patient Forms

We look forward to meeting with you! To help make the check in process smoother and more efficient for you please take a few minutes to review, complete, print and sign the Patient Paperwork Packet below.

Please bring the completed paperwork packet to our front desk staff when arriving for your appointment. If you would prefer to complete the paperwork at our office, please plan on arriving 15 to 30 minutes prior to your scheduled appointment to complete the packet in our office. Thank you again for choosing Boulder Valley Ear, Nose & Throat Associates.

• Patient Paperwork Packet  (Download for Fillable PDF form)

Allergy Forms and Information. If you are a new Allergy patient, please read and fill out the forms below:

• Allergy Pre-Test Information
• SNOT Form
• List of Medications that Interfere with Allergy Testing

HIPAA Forms:

• Notice of Privacy Practices

Please use the following form to request medical records:

• Medical Record Release Form

Cancellation Policy:

• Please note if you need to cancel or reschedule your appointment, we kindly request that you notify us at least 24 hours prior to your visit.  A fee of $50.00 will be assessed for late notifications and for not attending your scheduled appointment.