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New Patient Visits

New patients interested in ENT For Kids can now download our new patient forms from our website.  To save everyone time, please complete your paper forms prior to your first visit.  If you have questions regarding the forms, please let us know.

As a reminder, we ask all parents to remember your insurance card.  Our ENT office staff will need to review your insurance information at your time of visit.  We do accept major health plans.  Some plans include Blue Cross Blue Shield of SC, United Healthcare, as well as Medicare, Medicaid, and Care Credit.  For questions regarding your family’s insurance plan, please give us a call at 803-457-8120.  Or you can call your insurance provider.

 

New Patient Forms

New patients visiting ENT For Kids for the first time should complete the following new patient forms by downloading (clicking on the links below), filling out the forms, and returning new patient information to our office. Our ENT practice is located in Fontaine Business Center at 200 Arbor Lake Drive, Suite 120, Columbia, SC 29223. Or if you like, please feel free to fax your form(s) to us at your convenience.  Our office fax number is 803-457-8129.
clipboard patient forms

 

New Patient Clinic Record

Our clinic record form is for gathering new patient demographic and insurance information. We also need to know an emergency contact as well as a primary and referring physician.

 

New Patient Medical History Questionnaire

Our new patient medical history form is for gathering a new patient’s medical background. We need to know any history pertaining to your child’s medical condition(s) as well as a reason for visit. If your child has had any recent surgery, currently takes any medication(s), or has any allergies, we kindly ask you provide us with that information as well.

 

For any financial policy questions, including payment method as well as co-payments and co-insurance, please reference our:

Financial Policy Guide

If you ever have any questions, please let our ENT office staff know by calling 803-457-8120.  We are always happy to hear from you.

 

ENT for Kids logo.