Patient Forms

Adult Patient Forms
Adobe PDF (150K)

Child Patient Forms
Adobe PDF (150K)

Allergy Questionnaire
Adobe PDF (1019K)

Patient Services

Thank you for choosing Ear, Nose and Throat of Coeur d'Alene. We are dedicated to your care!

Office Hours

Our Coeur d'Alene office is open 8:00 am to 5:00 pm Monday through Thursday and 8:00 am to 4:00 pm on Fridays, excluding holidays. Our Sandpoint office is open 8:00 am to 5:00 pm Wednesday and Thursday.

Locations

Coeur d'Alene
700 Ironwood Dr, Suite 236
208-765-1345
contactus@entcda.com

Map of 700 W Ironwood Dr Coeur D Alene, ID 83814-2656, US

Sandpoint
420 N 2nd Ave
208-265-1991
contactus@entcda.com

Map of 420 N 2nd Ave Sandpoint, ID 83864-1565, US

Emergencies

Continuous 24 hour call coverage is provided by Ear, Nose and Throat of Coeur d'Alene. If you need to speak with a physician outside of business hours or over the weekend, please call the office number (765 1345) and our answering service will contact the on call physician for you. If necessary, messages may also be left with the office in the same manner.

Appointments

Appointments may be scheduled Monday through Friday. If you are new to the office or have not been seen in the office in the past 3 years, you will be asked to arrive 30 minutes prior to your scheduled appointment time. This is requested to allow for time to complete required paperwork which will facilitate being seen by your physician at your scheduled appointment time.

If you need to reschedule your appointment we would greatly appreciate 24 hours' notice in order to serve other patients who need to be seen.

Insurance & Fees:

We are contracted with most major insurance companies and accept Medicare assignment. In addition, each of our physicians may also contract individually with some of the other smaller insurance companies. As such, it is important to know your insurance carrier when scheduling your appointment. This is necessary to help schedule you with a physician who is a provider of your insurance network in an effort to maximize your benefits.

As a courtesy Ear, Nose and Throat of Coeur d'Alene will be happy to file all insurance claims for you. Therefore, all insurance cards are necessary for your visit to verify billing address and insured demographic information. We will also file Idaho Workmans' compensation claims with authorized case number and billing address information.

It is office policy to request appropriate co-payments and other payments responsible to the patient at the time of service. Mastercard and Visa are accepted. If you are unable to make the payment at the time of your visit, we are willing to make payment arrangements.

Privacy Policy (HIPAA)

Click here to review our complete Privacy Policy which complies with HIPAA (Health Information Portability and Accountability Act). A copy of this policy is also included in the following Patient Forms packets:

Adult Patient Forms  - Adobe PDF (155K)
Child Patient Forms   - Adobe PDF (155K)

Other forms available for download:

Allergy Questionnaire
(Please complete ONLY if you have concerns about allergy symptoms!)
Adobe PDF (1019K)