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Delaney Avenue Office
2311 Delaney Ave.
Wilmington, NC 28403
Phone: 910-762-8754
Fax: 910-762-0778
Porters Neck Office
8068 Market St.
Wilmington, NC 28411
Phone: 910-681-1488
Fax: 910-681-1490
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Wilmington Ear Nose & Throat Patient Forms

Patient Registration Forms

Here is where you can download forms to print and fill out. If you are a new patient, we recommend you print and fill out these forms prior to your appointment to save time.

Allergy Testing Instructions and Interfering Medications

If you are scheduled for an Allergy Test this form includes information about your upcoming test, which includes instructions and a very important list of medications that must be stopped prior to you being tested.
A nurse consulting with a patient

Notice of Non-Discrimination

Here you can find our notice of non-discrimination.

Authorization To Release Medical Records

Use this form to authorize the release of your medical records to or from Wilmigton Ear Nose & Throat.

Referral Forms

Referral forms for referring providers.