Moreland Ear, Nose & Throat Group Your Practice Online
Otolaryngologist in Waukesha
Moreland Ear, Nose & Throat Group
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Patient Forms

Download and print the forms in advance:

New Patient/Adult Form Adult Health History Form
New Patient/Child Form Child Health History Form
Insurance Form Patient Information Form
Communication of Health Authorization Form Communication of Health Authorization Form
Authorization for Release of Patient-Identifiable Information Authorization for Release of Patient-Identifiable Information
Authorization for Release of Patient-Identifiable Information Responsibility Agreement

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Happy New Year from all of us at Moreland and Professional Hearing Services
 
Our Doctors
Edward G. Kass, MD
Mary C. Fox, MD
Matthew Ubell, MD
William A. Darling, MD
Thomas P. Belson, MD
Ronald J. Darling, MD
   
 
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