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Patient Forms and Useful Information

New patients: Please complete these forms and bring them with you to your first appointment. Please note 2 additional forms are needed for patients of Dr. BuSaba who are coming in for snoring or sleep apnea.

Forms for all new patients:

Health Information Disclosure Form (PDF)
First Appointment Form (PDF)
Sinusitis Questionnaire (PDF)
 

Forms for snoring and sleep apnea patients:

Sleep Questionnaire (PDF)
Sleepiness Scale (PDF)

Pre/Post-Operative Instructions:

For Patients of Drs. Gray and Holbrook (PDF)
For Patients of Dr. BuSaba (PDF)
For Patients of Dr. Bleier (PDF)

Other Forms:

Pulmicort Respule instructions (PDF)