Lake Mary Office: 407-444-0573
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Orange City Office: 386-775-4467
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Orlando Sinus Surgery’s Patient Forms

After you have scheduled your first appointment with us, please print and fill out these required Orlando Sinus Surgery patient forms and bring them with you to our office.

By filling out these forms in advance, you’ll reduce your wait time and get to see the doctor faster. If you have any questions, please feel free to contact us directly.

» Download File

Patient Welcome Form

This form details Orlando Sinus Surgery's financial responsibility policies. Please print the form, read it entirely, sign the form and bring it to your first visit.


» Download File

Patient Disclosures Form

This form sets the privacy rules for how Orlando Sinus Surgery uses and discloses your individual medical information. Please print the form, fill it out entirely and bring it to your first visit.


» Download File

Patient Evaluation Form

This form details your prior medical history as well as the symptoms you currently feel. Please print the form, fill out everything above the solid black line, and bring it to your first visit.

“Headaches and congestion have gone. Should have done this surgery sooner. Thanks, Dr. Collette!”
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What is Balloon Sinuplasty?

End sinusitis pain with the world’s most advanced technology.

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