First Visit:

Please know that we do not take your choice or your trust for granted. We are dedicated to bringing Emory's expansive world of medical knowledge to you and your family. By choosing an Emory Otolaryngology physician or audiologist, you have become a partner with us in pursuing the most appropriate, medically advanced treatment available to you today. Our mission is to offer you the highest-quality patient care--compassionate, efficient and effective. Our partnership with you depends on it. Our history of high standards demands it.

Before your first appointment with one of our physicians, you may want to complete the medical history form below. We also request that you obtain medical records from your other health care providers and bring them with you if possible.

These steps will help us expedite your appointment and assure we have the appropriate information needed to provide the best advice possible during your initial consultation. Click below to download the form as a PDF (Adobe Acrobat). You may print the medical history form, fill in all the information and return it by mail to the office of the physician you have an appointment with. Or, you may bring it with you to your first appointment. We cannot accept the form electronically due to patient confidentiality.

 

 

Pre-registration form:

You may print the medical history form (click on link below), fill in all the information and return it by mail to the office of the physician you have an appointment with. Or, you may bring it with you to your first appointment. We cannot accept the form electronically due to patient confidentiality.

New Patient Questionnaire Form (PDF)

 

Directions:

Directions and parking information to the Otolaryngology Head and Neck Surgery Department at Emory University:

Exit Interstate 85 at Clairmont Road (#32). Turn left onto Clairmont if traveling southbound on I-85; turn right if traveling northbound on I-85. Drive approximately four miles on Clairmont Road. Turn right onto North Decatur Road. Go approximately two miles on North Decatur Road, and turn right onto Clifton Road. The Emory Clinic Building A and B and valet parking are 100 yards on the right.

The cost of valet parking is $5. Visitor parking for $4 is located behind Building B. For information on how to get to Emory from all major interstates, call 404-727-1134.

 
     


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