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Online Patient Services
Welcome to Bay Area ENT Specialists online patient services. We are excited to introduce our online patent services portal that will provide access to your account. This will give you easy access to communicate with Bay Area ENT for services like appointments, lab reports, referrals and current statements in the comfort of your own home. You can be assured that your personal information will be encrypted and your privacy will be secure.

Online patient forms/Questionnaire
These forms and Questionnaire are essential to diagnose the patients properly. It also helps us figure out if any other studies are necessary. Please make sure that you complete the appropriate online forms and submit it online prior to your appointment.

- If you are a patient having symptoms such as lightheadedness or dizziness, please fill in the Dizziness Questionnaire prior to your appointment.
  First time patients
    We value your time. We want to make your experience at Bay Area ENT Specialists a pleasant one. If you are a first time patient visiting our practice, please click on the files below.

Once the file is open please print it, fill it out and bring to your first appointment. Files marked "online" are forms you can fill online and submit through the website. Please click on the file link and fill the form online. Then click the submit button to submit the form.

This will significantly reduce your time filling paper work at our office.

      English
    º Patient Registration form
    º Financial Policy
    º Disclosure And Consent
    º HIPAA/PA combination form
    º Snoring Severity Scale - Patients seeing Dr. Strunk only
    º Medical History Form - Online Form
    º Epworth Sleepiness Questionnair - Online Form
    º Fall Prevention Balance & Dizziness Survey (All patients over 60 years old, please fill out) - Online Form
       
      Spanish
    º Politica Financiera
    º Comunicacion Y Consentimiento De Procedimientos En La Oficina
    º Protegida Informacion De Salud Consentimiento Para Comunicasion
    º Conentimiento De Tratamiento Por El Asistente Medico
    º Politica Financiera
    º Somnolencia Epworth Escala
    º Escala de Ronquidos Severo - Patients seeing Dr. Strunk only
    º Cuestionario De Mareos
    º Forma De Historia Medica - Online Form
    º The Spanish Registration form
   
Registered Patients
Patients who have been web-enabled with a username and password please click here to login.
New Patients
New patients who wish to make an appointment please call us at (281) 606-3100 or click here to send us an e-mail

 
 
     
          
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