About Your Visit
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
Nondiscrimination Notice, English
Privacy Notice, Spanish Copy