- Registration Form
- Authorization for Medical Release
- Financial Policy
- Notice of Privacy Practices
- Terms of Service
- Nondiscrimination Statement
- Nondiscrimination Statement Multi-Language
- Your Right to an Interpreter
- Health History Form
- Request Medical Records with ChartFast
Insurance Claims and Payment
Payment is due at time of service. For payment details visit our Financial Policy. This includes all copayments, coinsurances and deductibles. Your insurance card must be presented for verification at each visit.
We accept cash, check, Visa, MasterCard, American Express and Discover.
Ear, Nose and Throat Specialists are in-network providers for many plans. Please check with your insurance company for verification of benefits.