Online Patient Forms
The ENT Institute knows that your time is valuable. To help with this, we have provided two of our patient forms online enabling you to spend less time waiting.
Simply download the form below, print it out and fill it in. Bring the completed forms to any of our Georgia locations for your appointment to reduce your wait time.
You will need Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you may get it here.
» New Patient Form - ( PDF 86K)
» Instructions for Sleep Study - (PDF 233K)
» Patient Rights - (PDF 78K)
» Allergy Test and Screen Consent - (XLS 58K)
» Allergy Testing Information - (DOC 70K)
» Records Release 2010 - (DOC 70K)
Testimonials:
"I recently had endoscopic sinus surgery and rhinoplasty surgery. Dr. Gallups made me feel comfortable and confident in my decision to have surgery. He did an amazing job and the surgery went extremely well. The results are exactly what I wanted and I feel and breathe better."
- Laura B., Alpharetta, GA
In The News:
Ear, Nose and Throat News From Medical News Today
- Noise Exposure Can Cause Long-Lasting Changes To Sensory Pathways; Touch-Sensing Nerve Cells May Lead To Future Tinnitus Treatments,0,15
- Fri, 03 Feb 2012 - We all know that it can take a little while for our hearing to bounce ...
- Head And Neck Cancer Cells Destroyed By Grape Seed Extract, But Healthy Cells Are Unharmed,0,15
- Mon, 30 Jan 2012 - Nearly 12,000 people will die of head and neck cancer in the United St...
- Increased Risk For Transplant Patients Who Develop Head & Neck Cancer,0,15
- Mon, 30 Jan 2012 - Transplant patients who develop head and neck cancer are more likely t...
