Patient Info

permanent historyRocky Mountain Ear, Nose, & Throat Center | Allergy Center | Hearing Center | Missoula, Bozeman & Hamilton, MT

Patient Forms

The documents listed below can be printed for you to fill out at your leisure in order to be sure all your information is accurate and complete.

p-acrobatNote: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

Some of the following documents may be required for you to fill out prior to your appointment. Please do not forget to bring your forms with you to your appointment and any other pertinent information ie: xrays, lab, work, or office notes from referring physicians.

 

The following documents are strictly for informative purposes and can be printed and kept for your files:

Individuals who have been a patient at Rocky Mountain Ear, Nose, & Throat Center, P.C. have the right to access or receive copies of their medical records. Authorization for Release of Health Care Information forms can be obtained at the ENT front desk M-F 8:00am – 5:30pm or you may print them, fill them out and return to our office either by mail or stopping by our office:

Rocky Mountain Ear, Nose, & Throat Center, P.C.
Address: 700 W. Kent, Missoula, MT 59801. OR you may fax it to (406) 541-3950.

Individuals who have an upcoming appointment at Rocky Mountain Ear, Nose, & Throat Center and have records from other clinics which need to be sent to us can download that form HERE.

Appointment Reminders

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Sign up for Text Messages

Text Messaging is HERE for Appointment Reminders. Sign Up Today!

Receive appointment reminders on your cell phone.
It’s easy to get these helpful texts!

Text RMEEC to 622622

Message and data rates may apply. Text HELP to 622622 to receive help, STOP to 622622 to opt-out. Visit txt.tvox.com for more info.

Click on any name listed below for a direct link to that site.

Nondiscrimination Notice

DISCRIMINATION IS AGAINST THE LAW

Rocky Mountain Centers complies with applicable Federal civil rights laws and does not discriminate
on the basis of race, color, national origin, age, disability, or sex.
Rocky Mountain Centers does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.