Dell Children’s Medical Center of Central Texas
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Children's Ear, Nose and Throat Center Patient Forms 3705 Medical Parkway, Suite 200, Austin, Texas 78705
Phone (512) 324-2720       Fax (512) 324-2721

What to Expect on Your Child’s Visit

Please find enclosed all the registration forms needed for your child's visit. You can complete the Patient Demographic (registration form) online. Complete the others prior to your arrival. Make sure to bring your current insurance card, any referrals or authorizations (if needed) and a photo ID. We know your time is valuable but we do ask that you arrive 10 minutes prior to your scheduled appointment time to finalize any paperwork and signatures. Although we have a 15 minutes grace period on arrival time, we will reschedule your appointment if you arrive more than 15 minutes late.

If you have any question prior to your appointment, please feel free to call us at (512) 324-2720 or (512) 452-0231.

Online: New Patient Registration Form (click to submit online)

Forms you can print out and complete prior to arrival:

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