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Amelia Ear Nose & Throat PC
Information may not be reliable

carefully explain what I have found to each patient and their family.
Address1340 S 18th St Ste 102 Fernandina Beach, FL 32034-4733
Phone(904) 321-1417
Websitewww.ent.yourmd.com
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

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