Patient Forms & Information

Welcome to Rex Ear, Nose & Throat Specialists. To streamline your appointments, please review the following information, print the appropriate forms and bring them with you to your office appointments.

Patient Pre-Registration Forms

Save time at your appointment by filling out these forms ahead of time. Use this link to print the forms, then fill them out and bring them with you to your appointment.

Download Rex Ear, Nose & Throat Forms in English

Download Rex Ear, Nose & Throat Forms in Spanish

Notices

Patient Rights - English

Patient Rights - Spanish

Billing & Insurance

Health insurance is filed as a courtesy by our staff. We ask that patients please provide current and accurate information regarding insurance coverage. We are participating providers for Medicare, Medicaid and various HMOs and PPOs. All co-payments are expected at the time of service. Any outstanding balance that remains after payment from the insurance company is due within 30 days. We accept cash and checks. View our list of accepted insurance plans.