We provide you with downloadable forms that you can complete if you are having difficulty completing the online registration.

Patient Registration

Print and complete each of the forms below prior to your first office visit at Marin ENT. This will ensure a smoother and concise experience when you come in to our office.

If your chief complaint is snoring or sleep issues please complete our Epworth Sleepiness Scale in addition to the previous forms. If your main concern are your sinuses please complete our Sino-Nasal Outcome Test as well.

Advanced Directives

ADVANCE HEALTH CARE DIRECTIVE (California Probate Section 4701) from the California Attorney General’s website.

You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding donation of organs and the designation of your primary physician. If you use this form, you may complete or modify all or any part of it. You are free to use a different form.

  • Advanced Health Care Directive Form
  • Advance Health Care Directive Fact Sheet for Consumers
  • Special Forms

    Surgery Instructions

    Here are some instructional information regarding your scheduled procedures. If you are having surgery done at Marin General Hospital please check out the form “Preparing for Surgery” to find out where to go and instructions on what to do prior to your surgical procedure.