Charlton Ear, Nose and Throat Associates
Patient Resources
Patient Forms
Financial policy
Insurance & billing
Office policies

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:
Welcome Information
Patient Information Form

Financial Policy Form

Health Information Form
Patient Preference Regarding Communication of Health Information Form

 


For our Korean-speaking patients, please find the forms translated at the link below:
New Patient Forms in Korean

 

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 Friday

 

2821 E. Pres. George Bush Freeway, Suite 404

Methodist Richardson

Richardson, TX 75082

Hours: Thursdays from 2pm to 6:30pm.

 

© 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 Friday

 

2821 E. Pres. George Bush Freeway, Suite 404

Methodist Richardson

Richardson, TX 75082

Hours: Thursdays from 2pm to 6:30pm.

 

© 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.