Patient Forms

Pittsburgh Sinus Centers Forms

In an effort to better assist our patients, the following new patient packet is required to be completed online prior to your visit. Patients may also print a copy for their own records.

We like to have as much information as possible prior to your visit so we can begin authorizing services and prepare for your appointment. Please feel free to call our office if you have questions about our New Patient Packet.

Thank you for choosing Pittsburgh Sinus Centers! We look forward to providing you with the high level of specialty healthcare you deserve.

New Patient Packet*

(Please complete and submit information prior to your first visit.)
*includes New Telemedicine Consent Form

Existing Patient Telemedicine Consent Form

(Please complete and submit information prior to your scheduled telemedicine appointment.)