Patient Forms


If you are a new patient, please fill out our New Patient Appointment Request online and we will contact you for scheduling. Or you can call 205-838-7355 to schedule.

You may also quickly and conveniently access patient forms from our practice.

New Patient Registration Packet

Release of Medical Records TO Southern ENT & Sinus Center
Release of Medical Records FROM Southern ENT & Sinus Center


Dizzy/Vestibular Exercises:

Vestibular Retraining Therapy


Sinus Rinse Instructions:

Saline Sinuses Rinses

Medicated Sinus Rinses


Post Operative Instructions:

BAHA Implant

Ear Tubes – Dr Fort

Laryngoscopy – Dr Fort

Nasal Fracture Repair – Dr Fort

Otoplasty (Ear Pinning)

Parathyroidectomy – Dr Fort

Parotidectomy – Dr Walters/Dr Fort

Patch Myringoplasty – Dr Fort

Rhinoplasty/Nasal Valve Repair

Septoplasty/Turbinate Reduction – Dr Fort

Sinus Surgery – Dr Fort

Submandibular Gland Excision – Dr Fort

Tonsillectomy/Adenoidectomy – Dr Walters/Dr Fort


Vocal Cord Injection – Dr Fort




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