{"id":208,"date":"2019-10-16T11:23:43","date_gmt":"2019-10-16T18:23:43","guid":{"rendered":"https:\/\/entsalem.fm1.dev\/ent-patient-forms\/"},"modified":"2019-10-24T10:18:24","modified_gmt":"2019-10-24T17:18:24","slug":"ent-patient-forms","status":"publish","type":"page","link":"https:\/\/entsalem.com\/ear-nose-throat\/ent-resources\/ent-patient-forms\/","title":{"rendered":"ENT Patient Forms"},"content":{"rendered":"\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/welcome-letter-2018-06-29.pdf\">Welcome Letter<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/welcome-letter-2018-06-29.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/Patient-Demographic-2014V2.pdf\">Patient Information Form (required)<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/Patient-Demographic-2014V2.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_health_history_form_v1.pdf\">Medical History Form<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_health_history_form_v1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_cancellation_policy_no_show_policy_form_v1.pdf\">Cancellation\/No Show Policy Form<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_cancellation_policy_no_show_policy_form_v1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_new_patient_financial_policy_form_current_v2-1.pdf\">Financial Policy Form<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_new_patient_financial_policy_form_current_v2-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/medical-release-2019-10-21.pdf\">Medical Release<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/medical-release-2019-10-21.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_english_privacy_hipaa_policy_form_v1.pdf\">Privacy HIPAA Policy (English)<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_english_privacy_hipaa_policy_form_v1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_spanish_privacy_hipaa_policy_form_v1-1.pdf\">Privacy HIPAA Policy (Spanish)<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_spanish_privacy_hipaa_policy_form_v1-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_consent_to_share_medical_history_v1-1.pdf\">Consent to Share Health History Information<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_consent_to_share_medical_history_v1-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_consent_to_treat_child_v2.pdf\">Consent to Treat Child<\/a><a href=\"https:\/\/entsalem.com\/wp-content\/uploads\/2019\/10\/willamette_consent_to_treat_child_v2.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":206,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/pages\/208"}],"collection":[{"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/comments?post=208"}],"version-history":[{"count":0,"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/pages\/208\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/pages\/206"}],"wp:attachment":[{"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/media?parent=208"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/entsalem.com\/wp-json\/wp\/v2\/service_tags?post=208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}