For your convenience, the following forms will assist us in spending quality time with you during your visit with us. The Masdon ENT forms can be downloaded, printed and completed at your convenience.

Patient Health History Form

Patient Information Form

Consent Form

Fraxel Consent Form

Patient Self-Assessment of Communication

Tinnitus Reaction Questionnaire

Tinnitus Functional Index

Tinnitus Handicap Inventory


Patient Referral Form

You will need Adobe Acrobat Reader to download the patient orientation forms. If you don’t have Adobe Reader, you may download it free here.