Here you find all of the available forms that we use here in our office. All are in Adobe Acrobat PDF and can be viewed before printing. If you have a question about a particular form, please call our office.
Audiology Instruction Forms
Welcome to PENTA!
During this extraordinary time and for the safety of everyone in our building, please be aware of the following:
Do not bring additional people into the building.
It is best if you are alone as the patient enter the building for your visit today. We ask that other members of your party please wait in the car.
One parent or guardian may accompany a child under the age of 18.
If you have an exceptional need, please let the greeter know the details. She will need to get special permission from your doctor.
We will take your temperature and ask you about symptoms before you can proceed to check-in.
If you have a fever and/or cough:
You will be asked to wait in your car until the greeter can discuss the situation with your doctor. You may be asked to report to your primary care physician for your condition.
We appreciate your understanding during these challenging times. Our goal is to take care of essential ENT conditions and protect the safety of you, other patients, and the PENTA staff.