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Please plan to arrive 10-15 minutes before your scheduled
appointment time in order to
complete necessary paperwork. This will allow us to establish your
medical file before you
see your doctor.
In order to expedite the New Patient registration process and to
help minimize your waiting
time, copies of the required forms can be downloaded from this
website and completed in
advance.
New Patient Forms
Download New Patient Form (Adult) or
Download New Patient Form
(Pediatric)
If you have questions
regarding insurance and payments please contact our Billing
Department at (866) 336-3267
Medical Records
If you need to request a copy of your medical records from us or
another physician, Click
Here
to download an Authorization to Release Medical Records. Complete
the form and
mail to:
Premier ENT
255 Terracina Blvd. Suite 201,
Redlands, CA. 92373
You may also fax your request to our Medical Records Department at:
(909) 793-2502
For further questions
regarding medical records, please call: (909) 793-2500
Useful Patient
Information
Download ABR ENT ECOG Information
Download Aspirin
Compounds Information
Download Authorization for
Release of Medical Records
Download ENG Instructions
Download Nose Bleed
Precautions
Download Pediatric ABR
Information
Download Post-Op
Septoplasty Information
Download Post-Op Sinus
Information
Download Post-Op Thyroid
Information
Download Post-Op Tonsil
Information
Download Post-Op Tubes
Information
Download Post-Op
Adenoidectomy Instructions
Download Reflux Information |