Patient Resources

About Your Visit

What should you bring to your appointment?

We want to answer all your questions at your visit.

Please prepare for this by bringing:

  • Health Insurance Card/Information
  • A friend or family member to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • A copy of your XRAYS / CT scans (not just the reports -please get the actual films)
  • Copies of records from doctors related to your ENT problems.
  • Copay
  • Completed FORMS below

Patient Office Forms

We have provided downloadable office forms - please download, print and complete before your office visit with us.

Pediatric Health History Form - Dr. Chafin
Patient Registration Form
Dizziness Questionnaire
Dizziness Health History Questionnaire
Office Privacy Policy
Acknowledgment of Receipt of Notice of Privacy Practices
Workers Compensation Form

All forms above require Adobe Reader, Click here to download Adobe Reader for free.

 

 

 

Home Services & Treatments Meet Our Physicians & Staff Contact Us