Appointments, Ear Doctor Dallas

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Call Us (972) 402-8404
400 West IH 635, Suite 360 Irving, Texas 75063 | View Map
fax (972-402-9301)

Appointment Scheduling

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

Existing Patients with Patient Portal Access, please proceed directly to our portal page to log-in and schedule an appointment. Also, in an effort to shorten waiting times in our office we would appreciate you completing the following Review of Systems for established patients. Please print and bring with you at your next appointment. Thanks you for your cooperation.

Existing Patients without Patient Portal Access. Please call our office to schedule an appointment.When you come for your appointment please bring in a signed Patient Portal Consent form. For more information on the Patient Portal, go here.

New Patient Appointments:

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

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 *

IMPORTANT NOTE: A copy of the privacy policy is available for review at www.hipaadvisory.com or at appt.

Schedule an
APPOINTMENT

» New Patient

Did You Know
Your ENT Partners of Texas physicians have over 40 years of combined board certification by the American Board of Otolaryngology.

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