{"id":265,"date":"2019-11-14T19:58:32","date_gmt":"2019-11-15T00:58:32","guid":{"rendered":"https:\/\/theentcenter.fm1.dev\/resources\/patient-forms\/"},"modified":"2024-10-17T16:43:24","modified_gmt":"2024-10-17T20:43:24","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/theentcenter.com\/resources\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<p>Follow this link\u00a0for information regarding\u00a0<a href=\"https:\/\/d1rb2ebch19v98.cloudfront.net\/wp-content\/uploads\/2024\/05\/patient-info-for-client-website-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Front Office Intake Forms<\/a>\u00a0prior to your appointment.\u00a0Using this link for digital forms will save you time checking in.\u00a0 If you are unable to complete the link, forms are available below for printing and completing prior to\u00a0 your visit.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/d1rb2ebch19v98.cloudfront.net\/wp-content\/uploads\/2024\/05\/patient-info-for-client-website-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Front Office Intake Forms<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Patient Intake Forms<\/strong><\/p>\n\n\n\n<div style=\"border-bottom: 1px solid #085596\" ;=\"\" margin-top:=\"\" 1em;=\"\" margin-bottom:=\"\" 1em=\"\"><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-dcb7a84d-9fc5-4e6f-8ee3-7288659de0a8\" href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/patient-information.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Information<\/a><a href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/patient-information.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-dcb7a84d-9fc5-4e6f-8ee3-7288659de0a8\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-064a04d4-3687-4354-9dee-286f28dc7c7e\" href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/consent-financial-hipaa-consent.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consent to Medical Treatment<\/a><a href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/consent-financial-hipaa-consent.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-064a04d4-3687-4354-9dee-286f28dc7c7e\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-5d5c0a35-55fb-4c89-80f8-5ba724d030a9\" href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/notice-of-patient-privacy-hipaa.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Notice of Patient Privacy<\/a><a href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/notice-of-patient-privacy-hipaa.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-5d5c0a35-55fb-4c89-80f8-5ba724d030a9\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-b0ccf54c-67d3-4ca1-b95d-104d4b9b1181\" href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/health-exchange-consent.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Health Exchange<\/a><a href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2024\/10\/health-exchange-consent.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-b0ccf54c-67d3-4ca1-b95d-104d4b9b1181\">Download<\/a><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Additional Forms<\/strong><\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-25ba4aca-7cfb-4e1d-974b-a7eb5ee2e559\" href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2020\/09\/ent-release-of-medical-records.pdf\">Authorization for Release of Medical Records<\/a><a href=\"https:\/\/theentcenter.com\/wp-content\/uploads\/2020\/09\/ent-release-of-medical-records.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-25ba4aca-7cfb-4e1d-974b-a7eb5ee2e559\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Follow this link\u00a0for information regarding\u00a0Front Office Intake Forms\u00a0prior to your appointment.\u00a0Using this link for digital forms will save you time checking in.\u00a0 If you are unable to complete the link, forms are available below for printing and completing prior to\u00a0 your visit. Patient Intake Forms Additional Forms<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":113,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/pages\/265"}],"collection":[{"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/comments?post=265"}],"version-history":[{"count":44,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/pages\/265\/revisions"}],"predecessor-version":[{"id":2917,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/pages\/265\/revisions\/2917"}],"up":[{"embeddable":true,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/pages\/113"}],"wp:attachment":[{"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/media?parent=265"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/theentcenter.com\/wp-json\/wp\/v2\/service_tags?post=265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}