Patient Resources

How to Become a Patient

For your convenience, we have provided a full set of forms that may need to be completed upon your first visit to our office. Just download the required forms, print and complete in the comfort of your own home prior to your visit.

New Patient FormsFollow Up FormsFinancial AgreementMedical Information Release

Scheduling Your First Appointment

If a referral is required, the referring physician may schedule the appointment for you; or, once you receive the referral, you may schedule the appointment yourself by telephoning our office. If your insurance does not require a referral, please call our office directly to schedule your first appointment.

Your insurance company may require that you get a referral from your Primary Care Physician before becoming a patient. Please check your policy. If required, you must get the proper authorization from your insurance company before scheduling your appointment.

Preparing For Your First Appointment

When you come for your first appointment, please bring the following:

  • Your insurance card,
  • A list of your current medications,
  • Your contact information (telephone and mailing address)
  • Details of your medical history,
  • Your co-pay.
Patient Forms and Resources

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Excellent ENT physician! [Dr. Potocki] is smart and caring. He explains things well. I highly recommend him without reservations.

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