For Patients

About Your Visit

What should you bring to your appointment at Tampa ENT?

We want to answer as many of your questions at your visit. Please arrive 20 minutes before your appointment.

Please prepare for this by bringing:

Patient registration form
Condition of treatment form
Health questionnaire
Medication list
Allergy patient information (if applicable)
Allergy questionnaire (if applicable)
Drivers license or state issued identification card
Primary and secondary insurance cards
A friend or family member to take notes / help with questions
A list of your questions /concerns/ past medical history and surgeries
A copy of your XRAYS / CT scans (not just the reports - please get the actual films)
Copies of records from doctors related to your sinuses / nose / allergies / lungs.

Office Forms & Procedure Instructions (secure patient portal)

Click on any button below to enter our Secure Patient Medical Web Office. The next screen that appears will require you to agree to our privacy statement and terms of use. Once accepted, you can enter our secure online service center.

Download Forms Option

If you prefer to download, print and complete the New Patient Registration form, click the link below:

Adult Forms	Pediatric Forms
New Patient – Dr. Agnello	New Patient Pediatric – Dr. Patel
New Patient – Dr. Nofsinger	New Patient Pediatric – Dr. Nofsinger
New Patient – Dr. Seper	New Patient Pediatric – Dr. Seper

Billing & Insurance

We accept Medicare assignment and participate in most health care plans. Our staff can assist you in determining if we participate with you health plan or if a referral is needed.

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