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Forms

To make your experience with Ear Medical Group a pleasant one, we have added below the forms that new patients will need to complete at the time of your first visit. We would encourage you to download the forms and complete prior to your appointment. This will save you from having to come in early for your appointment to complete the forms and assist in making sure you have the information that is necessary.

New Adult patients should complete the Patient Registration and Insurance Subscriber Information forms and present to the appointment administrator at the time of your appointment.

New children and young adult patients under the age of eighteen should also complete the Pediatric Evaluation form. After reading this information, if you have any questions, please feel free to call our appointment administrator at (210) 614-6070. Thank you again for choosing the Ear Medical Group for you and your family's hearing and balance healthcare.

 


 

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