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If you have set up an account with us, you can enter your demographic and medical data on line. If you have not set up an account, please download, print, complete and sign the forms below indicated *registration, and bring them with you to the office to expedite your visit. |
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Related Documents:
- ADVANCED ENT Pt intake.pdf
*Registration: Patient Medical History - FINANCIAL POLICY.pdf
*Registration: Practice Financial Policy - please sign - demoform.pdf
*Registration: Demographic Information - outside records request.pdf
Use this form to get a copy of your records from another physician/facility sent to Advanced ENT - Medical Records Release.pdf
Request a copy of your medical records from Advanced ENT