Forms and Links

Pediatric Otolaryngology Associates, LLC Daniel L Wohl, MD

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To DOWNLOAD and PRINT our Pediatric ENT Medical History Forms
prior to your child's appointment,
you will need to create your child's Patient Portal Account
on the North Florida Surgeons (NFS) website.
FIRST
Click on one of the appointment type numbered links added below,
which will take you to the NFS Homepage.
(IGNORE THE FORMS LINK ON THE NFS HOMEPAGE)
THEN
IN THE UPPER RIGHT HAND CORNER OF THE NFS HOMEPAGE,
1. Click on the Patient Login tab.
2. Follow the instructions to establish an account.
3.  On the Portal homepage, click on your child's appointment.
(PLEASE DO NOT FOLLOW THE NFS PROMPTS TO COMPLETE YOUR CHILD'S MEDICAL HISTORY ONLINE AT THIS TIME.) 
4.  Click on the words "Medical Forms" which appear in a purple font to the left of the appointment.
5.  Select the Pediatric ENT form that best applies to your child's Pediatric ENT or Audiology appointment.
6.  Download the PDF form and complete it prior to your visit. 
(If you are unable to complete this process,
please arrive 10-15 minutes early for pre-registration.)
 

North Florida Surgeons Homepage Link to the Patient Portal

 
 
     Forms for New Patients

1.               New Patient ENT          
              Medical History Form
    (Please enter all demographic and medical information
             for your child(ren) on the NFS Patient Portal
                        prior to coming to the office.)

1. click here to access the NFS Homepage

 OR  2.  New Patient - HEARING TESTS ONLY
                      Audiological History Form
            (Please enter all demographic and medical information
                     for your child(ren) on the NFS Patient Portal
                                 prior to coming to the office.)

2. click here to access the NFS Homepage

3.        Notice of Privacy Policies for
             North Florida Surgeons, PA
   and Pediatric Otolaryngology Associates, LLC

3. click here to access the NFS Homepage

4.          Financial Statement for
         North Florida Surgeons, PA
 and Pediatric Otolaryngology Associates, LLC 

4. click here to access the NFS Homepage

 
 
   Other Patient Forms

5.          Established Patient       
              Medical History Form  
       (Please indicate whether or not you notice changes
                 in your child(ren) since your last visit
      othe NFS Patient Portal before coming to the office)

5. click here to access the NFS Homepage

  6.      Auditory Processing Disorder (APD)
          Medical History Questionnaire
            (In addition, please complete either the New Patient ENT or
                  Established Patient Medical History form before your
                                     APD evaluation appointment.)

6. Click here to go to the NFS Homepage

7.        Permission Form for a Person
      Other than the Parent/Legal Guardian
        to Bring a Child to Dr. Wohl's Office

7. click here to go to the NFS Homepage

         
          Click Below for a Map and
            Directions to our Office 
        

Suggested Educational Pediatric Otolaryngology Links

Kids E.N.T. Health

Asthma and Allergy Foundation of America

Pediatric Audiology Information

Information about Auditory Processing Disorder

Miscellaneous Links

Florida Statue Section 119.501(5) Regarding Social Security Requests