Extraordinary Care Begins here
Appointment Scheduling

Thank you for scheduling an appointment with ENT Partners of Texas. We are here for you every step of the way.

New Patient Appointments:

  1. To schedule an appointment you can either call our office (972-402-8404) or fill out the online form below.
  2. Prior to your appointment, fill out the Adult Patient Registration Form and/or the Child Patient Registration Forms, and the Portal Consent Form. Click the following links for more information on the Registration Form and Patient Portal.

3. Please bring the completed form(s) into the office at the time of your appointment – AND – fax the forms to ENT Partners of Texas at (972) 402-9301.

New Patient Appointment Form

* Required

First Name*

Last Name*

Sex*

Date of Birth*

Email Address*

Primary Phone Number

Doctor you are requesting? *

Preferred Day and Time of Appointment - 1st Choice *

Preferred Day and Time of Appointment - 2nd Choice *

Preferred Day and Time of Appointment - 3rd Choice *

Referring Physician *

Primary Care Physician *

What kind of problems are you having? *

Name of Health Insurance Company *

If Other - Please Provide Name of Insurance Company

Insurance Claims Address *

Insurance Claims Telephone (Enter Without Dashes)*

Name of Insured *

Employer *

Patient Relationship to Insured *

Group Number *

ID Number *

Enter Word Verification in box below *
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