The US31 Memorial Bridge temporary closure may affect commute times to appointments at our Manistee location. Please allow yourself extra time in getting to our Manistee office as we may be unable to accommodate those patients who arrive late.

Patient Forms

Posted on November 8, 2021 by Western Michigan ENT

Patient Registration Form Download

Notice of Privacy Practices Download

HIPAA Disclosure Form Download

Allergy & Sinus Questionnaire Download

Billing Policy Download

HIPAA Acknowledgement Form Download

Consent for Use and Disclosure of Protected Health Information Download