Resources

By providing our Patient Forms Online, this allows you the opportunity to fill out and bring with you. This lessens wait time before seeing your physician. Click on a Form Name to Download and Print Form. Patient Information FormDownload Patient History and Physical FormDownload Patient Medical Release FormDownload Notice of Privacy PracticesDownload Acknowledgement of Privacy…

Click on a form name to download. HIPAA Form Download Privacy Policies Download

Request An Appointment Today Fill out the form and we will contact you to help schedule an appointment.

We encourage patients to write down the questions they want to ask our doctors. We also encourage patients to bring a family member to their appointment. This family member should accompany the patient into the evaluation room to provide the patient with the support necessary to make medical decisions regarding their care. What to bring…

Eastern Carolina ENT (ENT) maintains privacy and confidentiality commitment of personal information utilized in any enduring-internet-on-line learning formats. ENT acknowledges the importance of the privacy of personal information and is committed to honoring your privacy. Information collected for the purposes of continuing education will not be provided to any third party. Unique identifiers are only collected…

The information provided on this web site is for the benefit of patients and healthcare professionals. The information provided here is not intended to replace advice of an ENT physician or general physician. Any questions that viewers of this web site may have regarding their specific medical condition are encouraged to seek the care of…