Chronic Pansinusitis Assessment & ENT Consultation Form

Streamline Chronic Pansinusitis Assessment with Paperform

Managing chronic rhinosinusitis (CRS) and pansinusitis patients requires gathering detailed symptom histories, quality of life metrics, previous treatment responses, and surgical candidacy criteria—all before your ENT consultation even begins. This Chronic Pansinusitis Assessment & ENT Consultation Form consolidates everything into one professional, patient-friendly experience.

Built for ENT practices, otolaryngology clinics, and sinus centers, this template helps you standardize patient intake for functional endoscopic sinus surgery (FESS) evaluation, track SNOT-22 or custom quality-of-life scores, and identify red flags or contraindications early. Patients complete the assessment at home, giving your team a complete clinical picture before they walk through the door.

Why Paperform for ENT and sinus assessment?

Paperform's conditional logic ensures patients only see relevant follow-up questions based on their symptoms and treatment history. If someone has tried multiple courses of antibiotics or corticosteroids, the form can automatically flag them as a potential surgical candidate and route their submission accordingly.

Connect this form to your practice management system, EHR, or CRM using Stepper (stepper.io)—our AI-native workflow builder—to automatically create patient charts, schedule consultations, send pre-appointment instructions, and notify your clinical team when a high-priority case comes in. No manual data entry, no missed details.

Whether you're screening for FESS candidacy, tracking treatment outcomes, or simply improving your patient onboarding flow, this template gives you a professional starting point that's easy to customize and even easier for patients to complete. Join thousands of healthcare providers using Paperform to deliver better patient experiences and more efficient clinical workflows.