New Patients

Your first visit to Brevard Ear Nose & Throat Center, PA establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office(s), practice hours, payment policies and more. There's background information about our first visit procedures. You can even save some time at your first visit by printing out and completing the new patient forms in advance of your appointment.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in medical care.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

New Patient Forms

To save time during your visit, please fill out these two online forms at least 24 hours prior to the day of your appointment.

If it’s less than 24 hours, please arrive at the office 30 minutes early to complete these forms. Please be prepared to provide this information to our office along with your current medical insurance information and complete medication list with medication name, strength and frequency. Once you submit your paperwork through our website it becomes encrypted and is secure.

Additional forms that are PDF and need to be printed, filled out and brought to the office the day of your appointment.

If you are coming in for sinus issues please print this form, fill it out, and bring to the office the day of your appointment

Records Release Form

The following Patient Records Release Form can be downloaded to your computer and printed at home if you need to request your medical records. If you have any questions when filling out this form, please do the best you can and our staff will assist you with your questions on the day of your visit.

What to expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familarize yourself with the doctors. We look forward to your first visit.