Patient Forms & Info

Prior to your visit with us, we would like to make sure you are as prepared and comfortable as possible. From this page, you can find all of documents needed for an office visit before you visit. You will also find helpful information and answers to some of our most frequently asked questions. If you have a question that is not answered within the following pages, please feel free to contact us at any time and we will assist you as soon as possible.

In order to view or print these documents, you will need Adobe Acrobat Reader installed. Click here to download it.

Welcoming New Patients!

If this is your first visit, visit this page which is prepared especially for new patients.

Save Time at your Next Visit! 

Please bring a list of all medications you are presently taking, including dosage information!

We now offer a web portal for our patients' convenience. From the AllMeds Patient Portal, you can fill out your Health History Information and access your patient record from home. For more info on how to sign up, call Appointments at 864-278-1447.

Be sure to bring your insurance cards and a picture identification with you so that we can scan these documents into your electronic medical record. In order to protect your identity and to protect you from insurance fraud, we will take your photo with a camera connected directly to your electronic medical record.

Payment Details

We accept payment via cash, check, all major credit cards, Wells Fargo Health Advantage and CareCredit. Wells Fargo Health Advantage and CareCredit payments can be made by phone. Please call Melissa at 864-699-6981.

Please refer to our financial policy for any questions regarding the filing of insurance and what payments are expected at the time of service.

Wells Fargo Health Advantage® Card

Financing options

With this credit card's everyday 12.99% APR and special financing promotions, you have an attractive payment option compared to other higher-cost financing. Pay over time, and enjoy more choices for care.

Many uses, now and later

Cover care for you, your family, and pets at thousands of dental, hearing, vision, and veterinary offices nationwide that accept the card. Use this credit card immediately upon approval, and over and over again.

Simple application, fast decision

Apply in minutes and get a decision right away. Receive your treatment today, finance it over time.

Convenient account management

Managing your account is simple with easy-to-understand monthly statements, and the ability to pay online, by mail, or over the phone.

Learn more by visiting or by calling 1-800-459-8451

Hearing aids financing available:



CareCredit Spartanburg & Greer ENT

We are also pleased to offer our patients CareCredit, North America’s leader in patient payment plans. CareCredit lets you begin your treatment immediately, and then pay for it over time with low monthly payments that fit easily into your monthly budget.

Like a credit card but better!

CareCredit works like a credit card, but is exclusive for healthcare services. With no up-front costs, no pre-payment penalties, and no annual fees, CareCredit lets you pay over time and frees up cash and credit cards for other things you want or need. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including hearing instruments. Plus, you can use your card again and again to pay for additional treatment for yourself or family members in any CareCredit practice.

  • Low minimum monthly payments
  • No-interest financing if paid within 12 months (Additional plans may be available)
  • No up-front costs, pre-payment penalties or annual fees

Learn more by calling 1-866-893-7864.

If you need assistance, contact Melissa at Spartanburg & Greer ENT (864) 699-6981.

For more information about our payment plans and insurance, Payment Details.

After Your Visit

Patient Survey
Complete this survey to help us continue improving our patient service.
Tell us about your previous visit. Your opinion counts! Click here to take our Patient Survey

Online Reviews
If you enjoyed your experience with our practice, please review us online! It only takes a few minutes, and we appreciate your feedback.

Clinical Summaries
Clinical summaries are provided for all patients within three business days upon request.

Medical Records

Who has access to your medical records?

The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. A clinical summary of your visit can be provided for you within 3 business days upon your request (hard-copy or electronic).

How old do you have to be to access medical records?

You are legally able to request access to records at age 18…. although a minor may be considered emancipated if he or she is married, has obtained court emancipation, or is a parent.

How do we keep up with where records are sent?

A data entry is created in the patient’s chart as a record of what information was sent, where it was sent, and by whom. The signed request for the records is scanned in the patient’s chart.

Prescription Refills

For all prescription refills, please call our office during office hours. A nurse will help you with your prescription refill. If you reach the nurse's voicemail, please listen carefully and leave all information requested. Please speak slowly and clearly and spell your last name. A nurse will return your call as soon as possible.

Greer Office: 864-699-6970 if automated attendant answers, choose option 4.
Spartanburg Office: 864-582-2900 if automated attendant answers, choose option 4.

If an appointment has been missed, prescriptions will not be refilled. Prescriptions cannot be refilled after office hours.

South Carolina Drug Card Prescription Drug Assistance Program

Surgery Scheduling & Pre-Certification

When surgery is scheduled, we will verify your insurance coverage and complete any necessary pre-certification. Inaccurate insurance information could result in an invalid pre-certification. Pre-certification does not guarantee payment from your insurance company. As the patient and the member of the insurance company, it is your responsibility to know if your insurance will pay for the surgery.

We ask that you be prepared at your pre-op visit to pay any insurance deductible and co-pay. If you can't pay in full, you must contact the Surgery Scheduling Department to arrange payments at least 3 days prior to your pre-op appointment.

Surgery Risks & Complications

Post-Operative Instructions


Contact Us

Our Location

Office Hours
Monday:09:00 AM - 05:00 PM
Tuesday:09:00 AM - 05:00 PM
Wednesday:09:00 AM - 05:00 PM
Thursday:09:00 AM - 05:00 PM
Friday:09:00 AM - 05:00 PM