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      (352) 272-9247

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BALLOON SINUPLASTY

This section of our web site is provided by  Lake ENT  to help make your first and subsequent visits as easy, as efficient and as accurate as possible. This section enhances the patient-physician relationship by giving you 24 hour access to patient specific instructions, forms and communication tools.

Forms

  • If you are a new patient or a returning patient that has not been seen in the past three years, please fill out the New Patient Information Form and the New Patient Symptom Form.
  • Existing patients, please fill out the forms appropriate to your visit or as instructed by our staff at the time you booked your appointment.

You may either fill out the form online by clicking the link below, print and bring to your appointment or, feel free to print and complete your forms by hand as completely and accurately as possible and bring them to your visit.

pdfNew Patient Form Packet

Please note:  Forms are in Adobe Acrobat format. If you do not have Adobe Acrobat Reader on your computer, please click here to download the free Adobe reader.

If you have been referred by a physician to our office, obtaining copies of your lab results or x-ray studies can expedite your visit.

Information Sheets

pdfOffice Policies/Fee Payment

pdfPrivacy Statement

pdfPre-Op Guidelines

pdfPost-Op Guidelines  (Nasal Surgery)

If you need assistance, please do not hesitate to call our office at (352) 728-2404.

 


 

Insurances Accepted as of May, 2014

  • Medicare
  • Blue Cross/Blue Shield
  • Aetna
  • Beechstreet
  • Cigna
  • First Health Network
  • CarePlus
  • Humana
  • Optimum
  • Staywell
  • WellCare
  • Freedom Health
  • Great West
  • Health Choice
  • HealthEase (12 yr and under)
  • Multiplan
  • PHCS
  • PUP
  • United Healthcare