Phone: (315) 251-1093

Click Here for the telemedicine consent
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Syracuse ENT Surgeons

  • Home

  • Providers

    • Dr. Chiles
    • Dr. Fung
    • Dr. Reynders
    • Dr. White
    • Jacqueline Mahady-Smith, NP
    • Melissa Giufre, PA-C
    • Lisa Phillips, CCC-A
  • Meet Our Team

    • Staff
  • Services

    • Allergy
    • VivAer
    • RhinAer
    • Hearing Testing (Audiology)
    • Balloon Sinus Dilation
  • Patient Information

    • Patient Forms
    • Instructional Videos
    • Accepted Insurances
  • Hospital Affiliations

  • How to Find Us

  • More

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    Patient Portal
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    General Patient Information

    Notice of HIPPA Policy Practice

    Office Financial Policy

    Adult - Medical History Form

    Pediatric - Medical History Form

    Authorization to Release Medical Records

    HealtheConnections Consent Form

    Policy for Treatment of Minors

    Pediatric Patients:
    Authorization Form for Medical Treatment of Minors

    Telemedicine consent

    Electronic Prescription Information

    Surgery Cancellation Policy

    Procedural consent

    No Surprise Act Notice

    Nasal Dryness Sheet

    Nose Bleed Instructions

    Snoring 

    Syracuse ENT Surgeons

    3906 E Genesee St, Syracuse, NY 13214

    Phone: (315) 251-1093

    Fax: (315) 251-1571

    ©2019 by Syracuse ENT Surgeons. 

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