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Patient Forms

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All new patients please print and fill out the Patient Forms shown below and bring them with you to your first appointment.

If any patient information has changed since your last visit, such as your insurance carrier or your address, please complete a new Patient Information Sheet. Please bring your insurance card and photo identification to all appointments, as well as a referral from your primary care provider, if required by your insurance company.

 

ENTSF-PatientInfoSheet
Patient Information Sheet
ENTSF-ConsentForm
Consent Form
ENTSF-MedicationMessageConsent
Medication Message Consent
ENTSF-Notice of Privacy Practices
Notice of Privacy Practices