Patient Forms

Posted on by St. Cloud ENT - Main Clinic & The Hearing Clinic

Online Forms

Referral Form

Policy: Shipping of Hearing Aids and Supplies

Minor Patient – Parent/Guardian Consent to be Accompanied by Designated Adult

Downloadable Forms

Patient Health History FormDownload
Good Faith EstimatesDownload
No Surprises ActDownload
Nondiscrimination PolicyDownload
Referral FormDownload

Medical Records Requests

To make our process quicker and easier, we outsource our requests for Medical Records to HealthMark Group. 

Request Your Medical Records