Patient Forms

Printable Patient Forms

The ENT & Allergy Centers of Texas

Forms For patients seeing providers in McKinney, Allen, Carrollton, Celina, Frisco or Plano

Demographic Information & Financial Responsibility

New Adult Patient History

Form 3 New Pediatric Patient History

Release of Information

Notice of Privacy Practices

Associates of Ear, Nose &Throat Surgery

Forms For patients seeing providers in Lewisville or Flower Mound

Registration Forms & Financial Policy

Please complete prior to your first visit with us

Authorization to Release Health Information

For release of records from another office, school or business to our office (Associates of ENT Surgery)

Privacy & HIPAA Policy

Our Privacy information

The ENT & Allergy Centers of Texas Accepts Most Health Insurance Plans

Our offices are in-network for most major insurance plans, To confirm your coverage, or for more information about insurance, please contact our office.
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Living Magazine Readers’ Choice

Texas Monthly

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Readers' Choice Best of Allen

ENT Care You Can Depend On

You don’t have to live in discomfort or pain from your ENT or allergy disorder. Call our office to schedule an appointment.