{"id":399,"date":"2021-01-08T18:04:17","date_gmt":"2021-01-09T00:04:17","guid":{"rendered":"https:\/\/burlingtonent.fm1.dev\/resources\/patient-forms\/"},"modified":"2021-09-13T19:01:37","modified_gmt":"2021-09-14T00:01:37","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/burlingtonent.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n

Before your appointment with us, quickly and conveniently access patient forms from our practice or go to our Patient portal and create an account. Once you have created an account you can fill out all of the paperwork on the portal.<\/p>\n\n\n\n

New Patient Forms<\/h2>\n\n\n\n
New Patient Forms<\/a>Download<\/a><\/div>\n\n\n\n

Additional Forms<\/h2>\n\n\n\n
Release of Information<\/a>Download<\/a><\/div>\n\n\n\n
Allergy Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n
Dizziness-Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n
Hearing Loss Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n
Hoarseness Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n
Sinus Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n
Sleep Apnea Questionnaire<\/a>Download<\/a><\/div>\n\n\n\n

Office Policies<\/h2>\n\n\n\n

Appointments<\/h3>\n\n\n\n

Appointments can be made by calling our office during normal business hours or by going to the Patient Portal and requesting an appointment. All requests made through the portal will be answered during our normal business hours.<\/p>\n\n\n\n

After Hours & Emergency Care<\/h3>\n\n\n\n

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.<\/p>\n\n\n\n

Prescription Renewals<\/h3>\n\n\n\n

Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.<\/p>\n\n\n\n

Financial<\/h3>\n\n\n\n

All office visits are payable at the time of service. We accept cash, checks and credit\/debit cards. Payments are now being accepted through our patient portal by MasterCard and Visa. Please contact our billing office at (319) 380-4031<\/a> should you have any financial questions or concerns.<\/p>\n","protected":false},"excerpt":{"rendered":"

Before your appointment with us, quickly and conveniently access patient forms from our practice or go to our Patient portal and create an account. Once you have created an account you can fill out all of the paperwork on the portal. New Patient Forms Additional Forms Office Policies Appointments Appointments can be made by calling…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/pages\/399"}],"collection":[{"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/comments?post=399"}],"version-history":[{"count":16,"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/pages\/399\/revisions"}],"predecessor-version":[{"id":1990,"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/pages\/399\/revisions\/1990"}],"wp:attachment":[{"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/media?parent=399"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/burlingtonent.com\/wp-json\/wp\/v2\/service_tags?post=399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}