Patient Information

Your first visit to Ear, Nose & Throat & Facial Plastic Surgery Center of Fredericksburg establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page.

You'll find all the practical information you need, such as a map and directions to our office(s), practice hours, payment policies and more. There's background information about our first visit procedures. You can even save some time at your first visit by registering on our patient portal to complete basic demographic information, medication and health history information as well. Contact our office for portal instructions.

Patient Forms

The following forms help us gather the information necessary for your first visit. Please click the link below to access and print the forms that are related to your visit to our office. Complete all forms printed and bring them to your initial visit. At that time, we will photocopy your insurance and your government-issued Photo ID and return them to you.

Adobe Reader In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.


Please click here to view a list of participating insurance companies. We recommend that you verify with your insurance company if our practice is listed as a Participating Provider within your plan. If you need assistance, please call our business office for clarification.

What to Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.


In order to request a copy of your medical records, please click on the form below, print, complete and fax to our office upon completion to fax # 540-371-2049 , Attn: Medical Records. A staff member from our office will contact you to discuss the fees associated with the release of your records and make payment arrangements prior to records being sent. In order to protect the privacy of your Protected Health Information (PHI), medical records cannot be emailed. Please allow 7-10 business days for your request to be completed.


Patients now have the ability to pay their bills on line.
CLICK THE GREEN BUTTON above and you will be linked to our online bill pay option.
Patients must have their account # available when using this payment method.
Please call our Billing Dept @ 540-371-4797 with questions.


Our Fredericksburg office is located near the old Mary Washington Hospital Building. Our Stafford office is located across from Mountain View High School.

Fredericksburg Offices

Stafford Office

Established ENT Patients

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