4210 North Roxboro Rd., Suite 140  •  Durham, NC 27704  •  919-620-7800

Patient Forms

The staff of Triangle ENT considers the patient’s personal health information and all information related to the care of any patient to be confidential and protected by law.

Click on the icons below to open a secure document for each form. Please fill out the forms on-line and securely submit them to our office prior to your next appointment.

If you'd like a copy of the form, please print it prior to clicking the Submit button.

 Patient InformationTRI-GeneralMedicalInfoTRI-SystemsReview

PDF-Icon54x54
Notice of Privacy Practices

 

Triangle ENT Services Association, PA
4210 North Roxboro Rd., Suite 140  •  Durham, North Carolina 27704  •  919-620-7800