Scotch Institute of Ear Nose & Throat
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Patient Forms
Adobe Acrobat Patient Registration Form
Adobe Acrobat Medication Chart

Allergy Forms
Adobe Acrobat New Allergy Patient

Audiology Forms
Adobe Acrobat VNG Instructions
Adobe Acrobat Hearing Aid Evaluation Questionnaire
Adobe Acrobat Hearing Questionnaire
Adobe Acrobat Dizziness, Balance, and Vertigo Questionnaire

Other Forms
Adobe Acrobat Medical Records Request
Adobe Acrobat Prescription Refill Guidelines
 

Please allow 24 hours to get your prescription approved and filled by the pharmacy. Prescriptions cannot be renewed after office hours, as medical records are not available.

For your convenience you may request Refills through our Patient Portal

 
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Hearing Aids | Tinnitus | Sinus Surgery | Deviated Septum | Hoarseness | Allergy | Snoring | Facial Plastic Surgery | Botox 
Hair Restoration | Pillar Procedure | Ear Wax Removal
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Brett Scotch D.O., F.A.O.C.O.
Wesley Chapel, FL 33544 | Zephyrhills, FL 33541 | Phone: (813) 994-8900 | Fax: (855) 388-5350

Copyright Scotch Institute of Ear Nose & Throat 2012, All Rights Reserved