Fax: 910-762-0778
Fax: 910-681-1490
New Patient Registration
Wilmington Ear Nose & Throat Patient Forms
*** Please note: We are not in-network with any BCBS BlueValue Plans. ***
Patient Registration Forms
Wilmington ENT patient forms are available to download, print, and fill out for your convenience, or when scheduling, provide your email address and we can send you a link to complete your registration. If you are a new patient, we recommend you complete these forms before your appointment to save time.
Allergy Testing Instructions and Interfering Medications
If you are scheduled for an Allergy Test, please review this form. It includes information about your upcoming test, including instructions and a very important list of medications that must be stopped prior to your testing.
Notice of Non-Discrimination
Here you can find our notice of non-discrimination.
Authorization to Release Medical Records
Use this form to authorize the release of your medical records to or from Wilmington Ear Nose & Throat.
We’re only a phone call away! Call 910-762-8754 to schedule an appointment.
Business Hours:
Monday – Friday: 8:30 a.m. – 4:30 p.m.
Saturday - Sunday: Closed
