Patient Resources
Everything You Need, in One Place
Forms, the patient portal, billing and financing, insurance information and plain-language condition guides.
Quick links
Patient Forms
Print or review the forms we use before your visit — new patient history, records release, privacy notice and consent.
View patient formsPatient Portal
View your visit summaries, request refills and message the clinical team through our secure, HIPAA-compliant portal.
Open the portalOnline Bill Pay
Pay a statement in under a minute with a card or bank account — just your statement number.
Pay my billFinancing Options
CareCredit offers monthly payment plans for procedures and hearing devices, including interest-free options.
See financingInsurance & Billing Policies
Health plans we contract with, how coverage is verified before your visit, and how to get an estimate up front.
Review health plansCondition Guides
Plain-language explanations of what your diagnosis means, what the procedure involves, and what recovery actually looks like day by day.
Browse guidesThese links open our secure portal, payment and financing systems. Nothing on this page collects health information.
Forms you may need
Completing these before your visit saves about 15 minutes at check-in.
New Patient Health History
Your medical history, current medications and allergies — bring it to your first visit.
Patient Information Sheet
Contact details, insurance information and responsible party.
Authorization to Release Medical Records
Lets us request records or imaging from another provider.
Notice of Privacy Practices Acknowledgement
How your health information is protected and used.
Financial & Insurance Policy
Our billing, copay and no-show policies in plain language.
Hearing Device Purchase Agreement
For audiology patients selecting a device.
Consent for Treatment of a Minor
For patients under 18 seen without a parent present.
Medication Refill Request
Request a refill between visits without a phone call.
Insurance & billing
We verify your coverage before your appointment and tell you what to expect out of pocket.
Questions about coverage? Call (214) 888-8978.
