{"id":149,"date":"2019-06-14T13:20:38","date_gmt":"2019-06-14T17:20:38","guid":{"rendered":"https:\/\/entofathens.fm1.dev\/resources\/patient-forms\/"},"modified":"2024-01-29T11:13:23","modified_gmt":"2024-01-29T16:13:23","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/www.entofathens.com\/resources\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n

We have made our patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing, completing, and bringing the following forms with you to your appointment: the Demographic \/ Insurance Form<\/strong>, the PHI \/ Privacy Notice \/ Patient Portal Form<\/strong>, the History Form<\/strong>, and the Medications List<\/strong>. You can also fax your completed<\/em> forms to our office prior to your visit. Regardless of how you choose to complete your forms ahead of time, please note that you must still bring your insurance card<\/strong> to your appointment.<\/p>\n\n\n\n<\/a>\n\n\n\n

ENT of Athens Telemedicine Form <\/h2>\n\n\n\n
Georgia Telemedicine Informed Consent Form <\/a>Download<\/a><\/div>\n\n\n\n

ENT of Athens Patient Forms <\/h2>\n\n\n\n
Demographic \/ Insurance Form <\/a>Download<\/a><\/div>\n\n\n\n
PHI \/ Privacy Notice \/ Patient Portal Form <\/a>Download<\/a><\/div>\n\n\n\n
History Form<\/a>Download<\/a><\/div>\n\n\n\n
Medications List<\/a>Download<\/a><\/div>\n\n\n\n
Privacy Policies<\/a>Download<\/a><\/div>\n\n\n\n
Billing and Insurance Information<\/a>Download<\/a><\/div>\n\n\n\n
No Show Policy<\/a>Download<\/a><\/div>\n\n\n\n<\/a>\n\n\n\n

Georgia Hearing Center Patient Forms <\/h2>\n\n\n\n
Georgia Hearing Center Patient Packet<\/a>Download<\/a><\/div>\n\n\n\n<\/a>\n\n\n\n

Allergy Center Patient Forms <\/h2>\n\n\n\n
Allergy Center Testing History Form<\/a>Download<\/a><\/div>\n\n\n\n
Medication Avoidance List<\/a>Download<\/a><\/div>\n\n\n\n
Common Medication List<\/a>Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

We have made our patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing, completing, and bringing the following forms with you to your appointment: the Demographic \/ Insurance Form, the PHI \/ Privacy Notice \/ Patient Portal Form, the History Form, and the Medications List. You can also fax your completed forms to our office…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":113,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/pages\/149"}],"collection":[{"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/comments?post=149"}],"version-history":[{"count":16,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/pages\/149\/revisions"}],"predecessor-version":[{"id":3472,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/pages\/149\/revisions\/3472"}],"up":[{"embeddable":true,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/pages\/113"}],"wp:attachment":[{"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/media?parent=149"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/www.entofathens.com\/wp-json\/wp\/v2\/service_tags?post=149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}