Patient Forms

Welcome – we’ve made it easy to find and download forms so you can fill out paperwork ahead of time and make your appointments go much smoother and efficiently. Please review and complete each relevant form and mail them into our office one week prior to your appointment.

New Patient Forms

Other Patient Forms

Important Reminder
When you come in for your appointment, please bring the following:

  • Photo ID
  • Current Insurance Card(s)
  • Payment of Co-Pay (as required by your insurance)

If you’re unable to provide all three of these, we’ll have to reschedule your appointment.

Thank You! We look forward to seeing you soon!

EN&T Associates

500 Donnally Street, Suite 200
Charleston, WV 25301
(304) 340-2200
info@entchas.com

Monday – Thursday
8:00 a.m. – 4:30 p.m.

Friday
8:00 a.m. – 1:00 p.m.