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Welcome to Rhode Island Ear, Nose & Throat's Patient Forms & Information Page

We're pleased to serve you! To streamline your requests, please select the appropriate form below and complete it online. Your information will be securely sent to our care team, helping us provide faster, more personalized service. 

 

NEW PATIENT REGISTRATION FORMS & INFORMATION

Please select, complete, and submit the forms below that best meet your needs. Simply click on the button provided beneath each form description to proceed. Thank you for your cooperation.

For your convenience, our office hours and other general information can be found at the bottom of the page. 

Medical Documents Signing
Doctor Consulting Patient

To book your new patient appointment, please complete and submit the form below. We look forward to welcoming you!

Medical Documents Signing

Please complete the Insurance Information form and submit prior to your consultation or if you are updating your insurance info. This will help us streamline the process and you receive the best care. Thank you for your cooperation!

Medical Examination Room

Please complete and submit the New Patient Medical History form your appointment. This will help us focus on providing you with the best possible care during your consultation. Thank you for your cooperation!

Nurse Writing Report
Hospital Lobby

Please complete the New Patient Urgent Request form to assist us in triaging all urgent requests effectively. Your cooperation is essential in ensuring that we address your needs promptly. Thank you for your understanding and support.

Medical Tools Overview

New patients with Blue Cross HMO plans are required to complete the form below before scheduling an appointment. Please note that approval is necessary to see a specialist. Thank you for your cooperation!

Doctor Consulting Patient

Patients and adjusters can submit this form to facilitate the effective processing of the workers' compensation claim. Your attention to detail is essential for a smooth and efficient process. Thank you for your cooperation!

ESTABLISHED PATIENTS & INFORMATION

Nurse With Clipboard
Nurse Writing Notes

Please fill out the form below to schedule your follow-up appointment with your physician. Thank you for choosing us for your healthcare needs!

Nurse With Clipboard

Please complete the Urgent Request Form below to assist us in effectively triaging your needs. Your cooperation is appreciated as we strive to provide timely and efficient care. Thank you for your understanding.

Hospital Staff Interaction

Please complete the form below if you are an established patient and need to send a message to your physician. Make sure to provide all the necessary details for a prompt response. Thank you for your cooperation!

PHYSCIANS ONLY INFORMATION

Hotel Check-In
Doctor Consulting Patient

Please complete the form below or upload the necessary documents to request an appointment for your patient. Your cooperation is appreciated, and we look forward to assisting you promptly. Thank you for choosing our services.

Hospital Employees

Physicians seeking urgent visits for their patients are requested to complete and submit the form below. This will help us efficiently triage all urgent requests and provide timely care to those who need it.

Doctor Meeting Patient

To send a message to one of our providers or another staff member, please use the link below. Simply click on the box, so you can compose and send your message. Thank you!

OFFICE HOURS & OTHER INFORMATION

OFFICE HOURS: Our current office hours are from 9 AM to 5 PM, Monday through Friday, with occasional variations due to surgery scheduling and emergencies. If you plan to visit outside of a scheduled appointment, please call ahead to ensure a staff member is available to assist you. Please note that our offices are closed for lunch from 12:00 PM to 1:00 PM each day, which our answering service will be available to take your calls.

UNITED HEALTH CARE: To all patients, please be advised that as of June 1, 2023, RI ENT Physicians will no longer be in-network with United Healthcare. Unfortunately, we will not be able to see any patients who have United Health insurance. 

HIGH CALL VOLUME: Thank you for your patience! Due to a high volume of calls, please allow at least 48 hours to receive your appointment information. Urgent requests, such as nasal fractures, uncontrollable epistaxis, and other matters deemed urgent by our specialists, will receive a quicker response. We appreciate your understanding!
HMO INSURANCE: Please note that all patients, both established and new, are required to bring their identification and insurance cards to every visit. If you have HMO insurance, you must provide an insurance referral. Additionally, established patients are responsible for ensuring that their insurance approval remains current. Thank you for your cooperation.
HMO BLUE CROSS INSURANCE: Before scheduling an appointment with a specialist under your Blue Cross HMO plan, it's important to have your Primary Care Physician fill out an online form with Blue Cross. This form will generate an approval number, which is required prior to booking your specialist visit with one of our providers. We will visit the Blue Cross site to verify that you have been approved to see a specialist and you will be scheduled at that time.  Please ensure to complete this step to avoid any delays with scheduling your appointment. We appreciate your cooperation. 
ELECTRONIC MEDICAL RECORDS: Since we are not utilizing EMRs, accessing your referral can be challenging if one was sent. To help us schedule your appointment promptly, please complete the new patient appointment form. This step is essential to ensure a smooth scheduling process. Thank you for your understanding.
URGENT VISIT REQUESTS: Thank you for considering our practice for your urgent care needs. Please understand that, similar to an emergency room, we must triage patients based on urgency as determined by our specialists. While we strive to accommodate those seeking urgent visits, we cannot guarantee an appointment within a week or two, as this will depend on the severity of your symptoms, the duration of your issues, and our specialists' availability. We appreciate your understanding and will do our best to meet your needs.
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