What you should bring to your appointment at ENT and Allergy Associates, LLP:
- Health Insurance Card/Information
- A friend or family member to take notes/help with questions
- A list of all medications you are taking
- A list of your questions/concerns
- A copy of your XRAYS/CT scans (not the reports - get the actual films or CD)
- Copies of records from doctors related to your ear, nose and throat problems
- Completed FORMS (see below)
- A photo ID
In order to expedite the patient registration process, please download the registration form below, print all four pages, fill it out and bring it/them with you on your first visit to our office. Thank you!
- ENT and Allergy EMR History Form, Microsoft Word version
- ENT and Allergy EMR History Form, PDF version
- FORMULARIOS en Español, Microsoft Word
- FORMULARIOS en Español, PDF version
- Patient Notification Form, Microsoft Word
- Patient Notification Form, PDF Version
- Preauthorization To treat Minors Without Parent or Legal Guardian, PDF Version
- We have also added an Patient Authorization for Release of Information form:
- ENT and Allergy Patient Authorization Release Form, Microsoft Word version
- ENT and Allergy Patient Authorization Release Form, PDF version
Other Forms:
- ENG Testing, English Instructions
- Allergy Testing, English Instructions
- ENG Testing, Spanish Instructions
- Allergy Testing, Spanish Instructions
- Privacy Notice, English Copy
- Privacy Notice, Spanish Copy
- FINANCIAL AGREEMENT
- Financial Hardship Application
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