Franklin Douglis, MD

The Ear Nose Throat
Allergy Sinus & Snoring Center

New Patients

Medical-form

Patients who have undergone prior workup and/or therapy for their sinus or nasal problems (imaging, surgery, allergy shots, etc.) can bring copies or provide consent for us to obtain those records in advance of your initial  appointment. This helps save time and make appropriate management decisions using all available information at the initial visit, and helps us avoid delays in providing care. Select the appropriate Records Release Form from this list, download and sign the form and send to your previous physician or clinic.

Operative Reports

Operative reports for any prior sinus or nasal procedures often include descriptions of operative findings and exactly which procedures were performed, which may guide further workup and management of your condition. Please bring a copy of any relevant operative reports to your visit, or consent for us to request a copy on your behalf prior to the visit.

Prior Imaging

If you have relevant, recent imaging (within the past 12 months) please bring a copy of the study burned on disc for us to review during your visit. Reports (in the absence of the actual images) are generally not adequate for an accurate assessment of your condition. If prior imaging is unavailable, we have in-office CT scanners that are safe and tolerable with an upright chair design. CT imaging is the most accurate way to evaluate a sinus problem, determine disease severity, and uncover anatomic reasons for blockages affecting your sinus function or nasal breathing. While dental scans and sinus x-rays may reveal sinus disease, these studies are no longer standard of care and are generally not utilized in medical decision-making beyond treating sinus infections short-term.

Other Information

Please be sure to bring any other reports or test results that may be relevant to your condition. These may include:

  • Allergy testing
  • Sleep study
  • Sinus or nasal cultures
  • ER/Urgent Care visits

Download our complete set of New Patient Forms

Please use the download below to obtain a complete set of our new patient forms.

Please print out and complete them prior to your initial appointment.

Feel free to call if you have any questions or problems.

Download All New Patient Forms