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Ear, Nose & Throat Surgery

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Patient Forms & Information

All new patients to Finger Lakes ENT need to print and fill out the New Patient Information and Patient Medical History forms, and bring them with you to your appointment (or fax ahead to appropriate office: Newark (315) 573-7787, Canandaigua (585) 412-6963, or Geneseo (585) 412-6963.

If any patient information has changed since your last visit, such as your insurance carrier or your address, please complete a new Patient History form as well. Please bring your insurance card and photo identification to all appointments, as well a referral from your primary care provider, if required by your insurance company.

Some of our forms are more than one page long. Please be sure that when selecting a form and printing it, your printer is set to "print all pages" so that the entire form will print out for you.

Patient Policies & Forms

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