Patient Forms
For your convenience, the following forms will assist us in spending quality time with you during your visit with us. The Masdon ENT forms can be downloaded, printed and completed at your convenience. Patient Health History Form Download Patient Information FormDownload Consent FormDownload Fraxel Consent FormDownload Patient Self-Assessment of CommunicationDownload Tinnitus Reaction QuestionnareDownload Tinnitus Functional…
Read MoreFinancing
At Masdon ENT & Facial Plastic Surgery, we accept most insurance companies including: Blue Cross Blue Shield, Tricare, Cigna, Humana, Medicare, Mail Handlers, Medicaid, Aetna, United Healthcare and GEHA. Please feel free to call our office at (256) 571-8450 if you have any questions about your insurance company and benefits. Masdon ENT accepts the following forms of payment/financing for…
Read MoreSpecial Offers
At Masdon ENT and Plastic Surgery, we offer a variety of incentives and special offers. Below are just a few of our special offers. 2-3 Years of Loss and Damage & Repair Coverage on Hearing AidsFree BatteriesQuarterly Cleanings and Adjustments at No ChargeYearly Hearing Instrument EvaluationDrop Off Service To learn more, call the main office…
Read MoreHIPAA Statement
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. If you have any questions about this notice, please contact our Office Manager/ Privacy Officer. OUR OBLIGATIONS | WE ARE REQUIRED BY LAW TO: Maintain the privacy of protected…
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