You can now download new patient forms from our website before you come in for your office visit and save time!  (Adobe Acrobat required)

Please remember to bring your insurance card with you at the time of visit. Charlotte Eye Ear Nose Throat Associates participates with most major insurance plans.  To verify participation in your plan, please contact us at (704) 295-3000 or visit the Fees and Insurance section of this website.

New Patients to our practice should complete the following new patient forms:

• Demographics Form    
  
• Demographics Form (Spanish Version)
  
• MHQ Form   
  
• MHQ Form (Spanish Version)

To review our policies, please download the following forms:

• Privacy Policy
  
• Financial Policy

For a list of our services, not covered by insurance, please download:

• Non Covered Services Form