Complete Your Patient Forms Online Click the links below to complete your patient forms online, we have English and Spanish versions of each form available for you. If you have questions or need any help, then please call us at (432) 689-2220 English Forms Case History Form Patient Health Questionaire Cerumen Removal Form Swim Molds Form Ear Molds Form Dizziness Questionaire Request for Release of Medical Records Formularios en Español Historia Del Caso Cuestionario de Salud del Paciente Eliminación de Cerumen Moldes para Nadar Moldes del Oído Cuestionario de Mareo Solicitud de Liberación de Registros Médicos