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817-332-8848
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Fort Worth ENT & Sinus

EAR NOSE THROAT & SINUS DOCTORS

  • Otolaryngologists
    • Jeremy P. Watkins, MD
    • J. Bradley McIntyre, MD
    • Sean M. Callahan, MD
    • Physician Assistants
  • ENT & Sinus
    • Nose, Sinus and Allergy
      • Nasal Obstruction
        • Nasal Polyps
          • Nasal Polyps Treatment
          • Nasal Polyp Surgery
          • After Endoscopic Nasal Polyp Surgery
        • VivAer® Nasal Airway Remodeling
        • Closed Nasal Reduction
        • Septoplasty
        • Nasal Alar Stents
        • Rhinoplasty and Nasal Valve Surgery
        • Turbinate Reduction
      • Sinus and Allergy
        • Allergies in Fort Worth
          • Types of Allergies
          • Skin, Sting, Drug, and Food Allergies
          • Allergy Testing
          • Allergy Shots
          • Allergy Drops
        • Sinus Disease
        • When Do I Really Need Antibiotics for a Sinus Infection?
        • Sinus Surgery Instructions
        • Balloon Sinuplasty
        • Image Guided Sinus Surgery System
        • Nasal and Sinus Irrigation
        • Sino-nasal Outcome Test (SNOT-22)
      • In-office CT Scan
      • Office Tympanostomy Tube Placement
    • Pediatric Ear, Nose, Throat
      • Ear infections in Children
        • Postoperative Care After Ear Tubes
      • Myringotomy and Ear Tubes
      • Tonsillectomy and Adenoidectomy
        • Summertime Tonsillectomies
      • Frenulotomy
      • Thyroglossal Duct Cyst Removal
      • Mastoidectomy and Tympanoplasty (Tympanomastoidectomy)
      • Stapedectomy
    • Voice Problems
      • Vocal Cord Disorders
      • Laryngopharyngeal Reflux Disease (LPR)
      • Laryngoscopy
    • Audiology and Hearing Loss
      • Hearing Aids
      • Hearing Loss in Children
      • Causes and Signs of Hearing Loss
      • Hearing Loss Linked to Dementia
      • Tinnitus Hearing Loss
      • Dizziness – Benign Paroxysmal Positional Vertigo (BPPV)
        • Treatment for Benign Paroxysmal Positional Vertigo
  • Sleep Apnea
    • Diagnosing Obstructive Sleep Apnea
    • Causes Complications of Sleep Apnea
    • Sleep Medicine Snoring or Sleep Apnea
    • Polysomnography PSG – Sleep Study
    • Treatments for Snoring Sleep Apnea
      • Intersect Propel® Stents
      • Surgery for Obstructive Sleep Apnea
        • Uvulopalatopharyngoplasty (UPPP)
    • Therapy for Obstructive Sleep Apnea
  • Head & Neck
    • Thyroid Disease
    • Minimally Invasive Surgery
    • Thyroid Enlargement and Difficulty Swallowing (Dysphagia)
    • Minimally Invasive Thyroid Surgery
    • Thyroidectomy
    • Parathyroidectomy
    • Parotidectomy
    • Lymph Node Biopsy
    • Neck Dissection
  • Patient Information
    • Appointment Request
    • Patient Portal
    • Forms
    • Postoperative Instructions
  • Contact Us
    • Employment Opportunities
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Fort Worth ENT & Sinus

Forms

Patient Forms - Fort Worth ENT & Sinus

Welcome to  Fort Worth ENT and Sinus. Please review our policies and instructions for completing our patient forms. They are provided to assist with scheduling and to minimize your time spent in our waiting room. Please review our cancellation policy below.

Patient Forms – Fort Worth ENT & Sinus

Medical History Form (English/Spanish)

Please download, print, and complete the Medical History form before coming to our office. This will minimize your time spent in the waiting room. Please also see the instructions below for Checking in Early.

  • Patient Medical Information 2020
  • Patient Medical Information Spanish 2020

Policies and Consents

Please read the following office policy, financial policy, authorization and consent, and assignment of benefits forms. You will be asked to sign each of these when you complete the interview via the Phreesia platform.

Compliance with the Red Flag Rule, Authorization and Consent Form, Office Policy, and Financial Policy (English/Spanish)
  • Red Flag Rule 2017
  • Authorization & Consent Form 2017
  • Authorization & Consent Form Spanish 2017
  • Permission to Accompany a Minor

Notice of Assignment of Benefits (English/Spanish)

  • Notice of Assignment of Benefits to a Provider 2020
  • Notice of Assignment of Benefits to a Provider Spanish 2020

Medical Records Release Form

  • Medical Release Form 2020
    • Complete the medical records release form in its entirety, and allow up to 5 business days after the request is received for the request to be processed. Please also specify on the form of how the information should be released (fax, mail, or email) with complete contact information. There will be a minimum $25 charge assessed before processing for any records released directly to the patient or patient’s representative. For records released to another physician, a fee will not be charged. For individual requested reports, there may not be a charge assessed (meaning a single office note, audiogram, CT report, or etc.).

Cancellation Policy

If you have an upcoming appointment in our office, you will be required to confirm your appointment 48 hours before your appointment is scheduled, or the appointment will be canceled. Due to the high number of patients on our waitlist, we want to ensure that patients are committed to showing up for scheduled appointments, so as not to steal time from other patients that could be filling the time slot. You will receive a text message, e-mail, and/or phone call to confirm several days prior to your appointment. If you are unable to answer, please call our office back promptly, to avoid cancellation.

Please call our office at 817-332-8848 to set up an appointment or submit an online appointment request.

Contact Fort Worth ENT & Sinus

Please call 817-332-8848 or request an appointment online.

Online Appointment Request!

Fort Worth ENT

5751 Edwards Ranch Road
Fort Worth, Texas 76109

Jeremy Watkins, MD
Bradley McIntyre, MD
Sean Callahan, MD

817-332-8848

Online Appointment Request

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