For your convenience we are providing the following forms for you to review, print and complete before your visit. These forms are also available to you at each of our office locations. You only need to complete the forms if you haven't seen an ENTC physician in over a year. If you did not download and fill out the forms prior to your visit, please arrive at least 15 minutes earlier to fill them out at our offices.

To view or print these forms you will need the free Adobe Reader from Adobe Systems, Inc. installed on your computer.

Returning Patient Forms Packet - (Print & Complete all Forms)

• • Adult Patient History or Minor Patient History
  • In Office Procedure Consent Form
  • HIPAA Disclosure Authorization
  • Health History Form
  • Insurance Office Policy

Please remember to also bring...

• --> Your insurance card.
• --> Referral form(s), if required by your insurance company.
• --> Copies of any x-ray films associated with your problem.