As a specialist of the ears, nose, and throat I believe it is my responsibility to diagnose diseases of the head and neck with the most up to date methods, and then
carefully explain what I have found to each patient and their family. I want to provide the best treatment available, whether that means prescribing medication or suggesting surgery.
My philosophy, and that of our experienced staff, is to treat patients with courtesy and respect.
Patient Information Form.doc
Patient Information Form
Medical History.doc
Medical History Form
Financial Responsibility and Policy Sheet.doc
amelia ent endoscope release.doc
BCBS FEDERAL 100 COPAY.pdf
Endoscope Release for Federal BCBS ONLY
Medicare Release Form - Medicare Patients only
Notice of Privacy.doc