{"id":24,"date":"2022-01-06T00:11:20","date_gmt":"2022-01-06T00:11:20","guid":{"rendered":"https:\/\/sacent.fm1.dev\/patient-forms\/"},"modified":"2024-04-26T15:40:37","modified_gmt":"2024-04-26T22:40:37","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/sacent.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Sacramento Patient Forms (Sacramento, Roseville, Folsom, and Fair Oaks locations)<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-11e7ce1d-fd04-4beb-ad8e-93d8cf2b863a\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/new-patient-medical-form-adult.pdf\">New Patient Medical Form (Adult)<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/new-patient-medical-form-adult.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-11e7ce1d-fd04-4beb-ad8e-93d8cf2b863a\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-b7deb7ea-46f6-410f-bdb7-76b50d0d938b\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_form_pediatric-1.pdf\">New Patient Medical Form (Pediatric)<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_form_pediatric-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-b7deb7ea-46f6-410f-bdb7-76b50d0d938b\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-61542c9d-9266-497c-bca3-d9369824ce58\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_advanced_directive_v1-2.pdf\">Advance Directive Form<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_advanced_directive_v1-2.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-61542c9d-9266-497c-bca3-d9369824ce58\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-e836ff11-28a9-4288-82a0-e29362c3fd70\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_privacy_consent_hipaa_proxy_v1-1-1.pdf\">Privacy Consent Form<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_privacy_consent_hipaa_proxy_v1-1-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-e836ff11-28a9-4288-82a0-e29362c3fd70\">Download<\/a><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">San Joaquin Patient Forms (Stockton and Lodi locations)<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-c8b8a78e-fa89-46c7-8684-f2842abbd609\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_sj_health_history_form_fillable_v3-1.pdf\">Health History Form (English)<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_sj_health_history_form_fillable_v3-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-c8b8a78e-fa89-46c7-8684-f2842abbd609\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-93b795df-33ee-4133-8715-6ab4d12bd59f\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_sj_spanish_health_history_form_fillable_v4.pdf\">Health History Form (Spanish)<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_sj_spanish_health_history_form_fillable_v4.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-93b795df-33ee-4133-8715-6ab4d12bd59f\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-b023ca2f-8661-42dc-b8c9-13c3be44ba19\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_privacy_consent_hipaa_proxy_v1-1.pdf\"> Privacy Consent Form<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/sacent_new_patient_privacy_consent_hipaa_proxy_v1-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-b023ca2f-8661-42dc-b8c9-13c3be44ba19\">Download<\/a><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Request Patient Medical Records<\/h3>\n\n\n\n<p><a href=\"https:\/\/sacent.co\/med-rec-allergy\" target=\"_blank\" rel=\"noreferrer noopener\">Medical Records Authorization \u2013 Allergy<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/sacent.co\/med-rec-ent-sac\" target=\"_blank\" rel=\"noreferrer noopener\">Medical Records Authorization \u2013 ENT Sacramento Region<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/sacent.co\/med-rec-ent-cv\" target=\"_blank\" rel=\"noreferrer noopener\">Medical Records Authorization \u2013 ENT Central Valley<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Patient Procedure Instructions Forms<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-eef60145-7c47-4c7b-961e-ba4a48c8f70c\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2024\/02\/allergy-skin-testing-instructions-9-2022.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Allergy Skin Testing Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2024\/02\/allergy-skin-testing-instructions-9-2022.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-eef60145-7c47-4c7b-961e-ba4a48c8f70c\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-6121a0ee-a85e-49be-bc9e-332e54276361\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/general-pre-operative-instructions.pdf\">General Pre-Operative Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/general-pre-operative-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-6121a0ee-a85e-49be-bc9e-332e54276361\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-bab2af2e-1cf3-432f-ad68-cfedf5d0d0b0\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/ear-tubes-bmt-instructions.pdf\">Ear Tubes (BMT) Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/ear-tubes-bmt-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-bab2af2e-1cf3-432f-ad68-cfedf5d0d0b0\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-68c43a9a-539f-4730-9a81-2a0716caa439\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/tonsil-and-adenoid-surgery-instructions.pdf\">Tonsil and Adenoid Surgery \u2013 Home Care Following Surgery<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/tonsil-and-adenoid-surgery-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-68c43a9a-539f-4730-9a81-2a0716caa439\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0fbd2fee-c0d8-4255-9958-1e87c656dff5\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/ear-surgery-instructions.pdf\">Ear Surgery Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/ear-surgery-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0fbd2fee-c0d8-4255-9958-1e87c656dff5\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-2f2ac4bf-efbe-4b62-a4d8-b4eaf3866323\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/vertigo-or-dizziness-instructions.pdf\">Vertigo or Dizziness Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/vertigo-or-dizziness-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-2f2ac4bf-efbe-4b62-a4d8-b4eaf3866323\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-d0d25932-d0a4-4a93-a42e-d530cfa34041\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/gerd-dietary-instructions.pdf\">GERD Dietary Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/gerd-dietary-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-d0d25932-d0a4-4a93-a42e-d530cfa34041\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-e3b67bb0-f0de-4dfe-87c5-8e80902189a1\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/videonystagmography-vng-instructions.pdf\">Videonystagmography VNG Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/videonystagmography-vng-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-e3b67bb0-f0de-4dfe-87c5-8e80902189a1\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-d489a8e2-36ff-44ca-a363-5a6acf93b756\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/pediatric-abr-test-instructions.pdf\">Pediatric ABR Test Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/pediatric-abr-test-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-d489a8e2-36ff-44ca-a363-5a6acf93b756\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-916a529d-ab95-41bf-aae2-934777e2e80a\" href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/in-office-balloon-sinuplasty-post-operative-instructions.pdf\">In-Office Balloon Sinuplasty Post-Operative Instructions<\/a><a href=\"https:\/\/sacent.com\/wp-content\/uploads\/2023\/06\/in-office-balloon-sinuplasty-post-operative-instructions.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-916a529d-ab95-41bf-aae2-934777e2e80a\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Sacramento Patient Forms (Sacramento, Roseville, Folsom, and Fair Oaks locations) San Joaquin Patient Forms (Stockton and Lodi locations) Request Patient Medical Records Medical Records Authorization \u2013 Allergy Medical Records Authorization \u2013 ENT Sacramento Region Medical Records Authorization \u2013 ENT Central Valley Patient Procedure Instructions Forms<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/pages\/24"}],"collection":[{"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":0,"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"wp:attachment":[{"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/media?parent=24"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/sacent.com\/wp-json\/wp\/v2\/service_tags?post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}