Patient Forms & Information
To streamline your visit, please select and complete the appropriate form below. Your information will be securely sent to our care team.
New Patient Registration
Please select, complete, and submit the forms below that best meet your needs. Simply click the button beneath each form description to proceed.
New Patient Appointment
To book your new patient appointment, please complete and submit this form. We look forward to welcoming you!
Complete FormNew Patient Insurance Info
Please complete the Insurance Information form prior to your consultation or if you are updating your insurance info. This helps us streamline the process.
Complete FormNew Patient Medical History
Please complete and submit the New Patient Medical History form before your appointment. This helps us focus on providing you with the best possible care.
Complete FormNew Patient Urgent Request
Please complete this form to assist us in triaging urgent requests effectively. Your cooperation ensures we address your needs promptly.
Complete FormBC HMO Form
New patients with Blue Cross HMO plans are required to complete this form before scheduling an appointment. Approval is necessary to see a specialist.
Complete FormWorkers' Comp Claims
Patients and adjusters can submit this form to facilitate effective processing of a workers' compensation claim.
Complete FormEstablished Patients
Forms and resources for returning patients.
Established Patient Follow-up
Please fill out this form to schedule your follow-up appointment with your physician. Thank you for choosing us for your healthcare needs.
Complete FormPhysicians Only
Forms for referring physicians and medical staff.
Physicians New Patient
Please complete this form or upload the necessary documents to request an appointment for your patient. We look forward to assisting you promptly.
Complete FormPhysicians Urgent Request
Physicians seeking urgent visits for their patients should complete and submit this form. This helps us efficiently triage all urgent requests.
Complete FormPhysician Message
To send a message to one of our providers or another staff member, please use this form.
Send MessageOffice Hours & Important Information
Office Hours
Monday – Friday, 9:00 AM – 5:00 PM
Offices are closed for lunch from 12:00 PM – 1:00 PM. Our answering service is available during this time.
United Health Care Notice
As of June 1, 2023, RI ENT Physicians will no longer be in-network with United Healthcare. We will not be able to see any patients who have United Health insurance.
High Call Volume
Due to a high volume of calls, please allow at least 48 hours to receive your appointment information. Urgent requests such as nasal fractures and uncontrollable epistaxis will receive a quicker response.
HMO Insurance
All patients are required to bring their identification and insurance cards to every visit. If you have HMO insurance, you must provide an insurance referral. Established patients are responsible for ensuring their insurance approval remains current.
HMO Blue Cross Insurance
Before scheduling an appointment under your Blue Cross HMO plan, your Primary Care Physician must fill out an online form with Blue Cross to generate an approval number. This is required prior to booking your specialist visit.
Electronic Medical Records
Since we are not utilizing EMRs, accessing your referral can be challenging. To help us schedule your appointment promptly, please complete the new patient appointment form.
Urgent Visit Requests
Similar to an emergency room, we triage patients based on urgency as determined by our specialists. We cannot guarantee an appointment within a week or two, as this depends on the severity of your symptoms and our specialists' availability.