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COVID-19 UPDATE: Under the 14-day quarantine travel advisory announced by the Governors of New Jersey, New York and Connecticut, individuals traveling to or returning from states with increasing rates of COVID-19  are advised to self-quarantine for 14 days. The current list of states, which will be updated regularly, can be found at NY.Gov and NJ.Gov. This includes travel by train, bus, car, plane and any other method of transportation. If you have traveled to one of these states and have stayed longer than 24 hours, we kindly request you self-quarantine at home for 14 days prior to coming into the office. If you would like to schedule a Virtual Appointment, please call 1-855-ENTA-DOC. For more information on how ENTA is taking extra precautions to provide the safest environment possible during the COVID-19 pandemic, please click here.

ENT Forms

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