New Patient Forms

Please see our new patient forms below. In addition to completing these forms, be sure to bring all insurance cards, medications, and any CT Scans or recent X-Rays with you to your appointment.

New Patient Forms (PDF Downloads)

The following pdf forms are provided for your convenience to download, print and complete prior to your arrival at our office.

Adult Medical History

Pediatric Medical History

Patient Profile

Patient Policies

Authorized Designee

Medical Records Release Form
Medical Records Release Form – Online Version

Patient Portal Guide

Consent for Treatment of Minor Child

For providing Asheville Ear Nose & Throat with a list of authorized people to bring your child in for treatment.

English version

Spanish version