Dr. Douglis and the Ear Nose Throat Allergy Snoring Center welcome you to our practice. These are the patient registration and history forms that we ask all patients to fill out. A thorough and accurate history will help us correctly diagnose your problem and find the appropriate therapy.
To help speed your check in please print the forms, fill them out and bring them with you to your visit.
Please be sure to bring a current list of the medications, vitamins, and neutraceuticals you take. We can not prescribe medications or treatments unless we can check for possible interactions with your current medications.