New Patients

To help make your first visit to our practice as smooth as possible, please read the information on this web page. You'll find all the practical information you need, such as a map and directions to our office(s), practice hours, payment policies and more. We also describe our first visit procedures. And, you can save some time by printing out and completing the new patient forms in advance of your appointment.

Mission

Our practice is working together to realize a shared vision of uncompromising excellence in medical care.

To fulfill this mission, we are committed to:

  • Listen to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

 

Patient Forms

Prior to your appointment, especially if you are a new patient to McClinton ENT of Newnan, it will be very helpful to review and/or fill out and sign the appropriate forms.  Please either fill out the ONLINE forms indicated below or print and fill out and sign the appropriate forms and bring them to your appointment.

If you are new to McClinton ENT of Newnan, but are an active Piedmont Healthcare patient, please fill out the ONLINE forms below (or print the PDF version, fill out and sign them and bring them with you to your appointment):

If you are new to McClinton ENT of Newnan and are NOT an active Piedmont Healthcare patient, please fill out the PREVIOUS four ONLINE forms above AND the additional one below (or print the PDF versions, fill out and sign and bring them with you to your appointment). 

Patient Information and Registration Form  [PDF]  [Online]

Additionally, if we are treating your minor child, please fill out the following ONLINE form (or print the PDF version, fill out and sign and bring with you to the appointment):

If we are seeing your minor child but he/she will not be accompanied by you, a parent or a legal guardian, please fill out the following ONLINE form (or print the PDF version, fill out and sign and bring to the appointment):

  • Pre-authorization to Treat Minors Consent Form  [PDF]  [Online]

If you would like for us to obtain your medical records from another entity, or for us to send your records to another entity, please fill out the following ONLINE form (or print the PDF version, fill out and sign and bring with you to your appointment).  Please note that printing and/or sending medical records may incur a fee.

  • Patient Authorization for Use/Disclosure of Protected Health Information  [PDF]  [Online]

 

Adobe Acrobat Reader Download In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 

We participate with the following insurance plans:

  • Aetna
  • Anthem BCBS
  • Cigna
  • Humana
  • UHC
  • PHCS/Multiplan
  • Tricare
  • Medicaid

Medicaid Managed Plans:

  • WellCare
  • Peach State
  • Amerigroup
  • CareSource Medicare

Medicare Advantage Plans:

  • Cigna HealthSpring
  • Aetna
  • Humana and UH

 

What to Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familarize yourself with our providers. We look forward to your first visit!

 

Directions