New Patient Forms

Please choose from the two options below to complete your new patient forms. In addition to the 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 (Online Forms)

Click the links below to complete secure online forms prior to your office visit.

New Adult Patient

New Pediatric Patient

Medical Update

Medical Records Release

Insurance Card Upload

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

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