Please complete and print forms and bring to your appointment to expedite the check-in process.

 

New Patient Forms (Adults)

Authorization To Disclose Health Info

New Patient Introduction Form (adult)

Release and Diagnostic Test Form

 

 (Pediatric/ Under 18)

Authorization To Disclose Health Info
New Patient Introduction Form (pediatric)

Minor Consent Form

 

 

 

 

Hearing Center
Hearing Handicap Inventory-Screening Version (HHIE-S)

VNG Testing and Information Instructions

Call and schedule an appointment

806-355-9999

OFFICE

NEW CLINIC NOW OPEN!

6830 Plum Creek Drive
Amarillo, TX 79124

CALL

Tel: 806-355-9999

Fax: 806-355-9989

@2018 Quail Creek ENT.