Patient Forms For Your Convenience
New Patient Packet
Are you a new patient at The Center for ENT? We look forward to seeing you. Please complete this form and bring with you the day of your visit. This will save you and the Center time in processing your file.
Notice of Privacy Practices
This Notice of Privacy Practices identifies the general ways your protected health information can be used or disclosed. Read it all here.
Record Release Authorization
Are you requesting a release of medical records from The Center for ENT? If so please complete this form in full and we will process it as quickly as possible for you.
Best Front Desk Personnel– LS
Dr. Ron Moses is the most attentive, helpful, friendly and dedicated doc I’ve ever been to. I have been suffering with severe, chronic sinus problems for years, and it is so comforting to feel that I have such a caring advocate on my side. Also, I am always impressed by the friendly, cheery and efficient front desk personnel who make visiting the office a pleasure.
Beyond Helpful– BB
Dr. Asawa, Paula and Rachel have all been so helpful in my time as a patient at The Center for ENT. They have worked with me nonstop until we found out how to battle my issue that I was having. It is always a pleasant experience during my monthly visits. Everyone is so kind! I would definitely recommend The Center for ENT over any practice of its kind.
Detailed and Professional– V
The experience was very good. The process was does in a timely manner and all questions were answered with a wonderful smile by the nurses. Lovely bed-side manner and no pain at all.
Why Choose The Center for ENT?
- Professional Support
Our support staff is trained, experienced, and able to provide all the information and guidance you need.
- Compassionate Care
We created a safe, comforting environment where the feelings and emotions of our patients are validated and handled with care.
- Superior Medical Technology
Sinus testing, treatment, and procedures are performed using state-of-the-art equipment and reflect the latest medical breakthroughs.
- Minimally Invasive Treatments
We treat many sinus conditions using advanced techniques and tools to maximize relief and minimize risks.
- Life-Changing Results
Our individualized approach to treatment ensures that we achieve the best possible outcomes.
Ready for relief?
We’re ready to help. Call our sinus center today to schedule a consultation with a sinus doctor or submit a request form online. You’ll hear from one of our professional staff members shortly to set up a visit.