Charlton Ear, Nose and Throat Associates
Forms

Patient Information Forms

 

If you are a new patient at Methodist Charlton Ear, Nose and Throat, please click on the links below, complete the PDF forms, and bring them with you to your appointment. Filling out this information ahead of time will allow us to better serve you.

 

Forms:

 

Please fill the paperwork out in its entirety!  

 
 

NP_Paperwork-_English.pdf
 
NP_Paperwork-_Korean.pdf
 
NP_Paperwork-_Spanish.pdf
 

 

 

Thank you.

 

 

972-572-3300

3450 W. Wheatland Rd.

Physician Office Building II, Suite 443

Methodist Charlton Medical Center

Dallas, TX 75237

Hours: 8:30 a.m. to 5 p.m., Monday thru Thursday

Friday 8:30 to Noon

 

© Copyright 2016-, Methodist Charlton Ear, Nose and Throat Associates

972-572-3300

3450 W. Wheatland Rd.

Physician Office Building II, Suite 443

Methodist Charlton Medical Center

Dallas, TX 75237

Hours: 8:30 a.m. to 5 p.m., Monday thru Thursday

Friday 8:30 to Noon

 

© Copyright 2016-, Methodist Charlton Ear, Nose and Throat Associates

 

Methodist Charlton ENT Associates is owned and operated by MedHealth and staffed by independently practicing physicians who are employees of MedHeatlh. The physicians and staff who provide services at this site are not employees or agents of Methodist Health System or any of its affiliated hospitals.Methodist Charlton ENT Associates is owned and operated by MedHealth and staffed by independently practicing physicians who are employees of MedHeatlh. The physicians and staff who provide services at this site are not employees or agents of Methodist Health System or any of its affiliated hospitals.