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3 locations in Louisville & Lagrange

502-306-3157

Louisville, KY (Kresge Way)

Louisville, KY (Kresge Way)

502-289-5387

Louisville, KY (Eastpoint Parkway)

Louisville, KY (Eastpoint Parkway)

502-281-0266

Lagrange, KY

Lagrange, KY

502-306-3098

Louisville Family ENT – Louisville & Lagrange, KY
  • Conditions
    • Ears

      • Ear Infections
      • Auditory Neuropathy
      • Auditory Processing Disorder
    • Sinus & Nose

      • Block Nose & Deviated Septum
      • Stuffed Nose & Sinus Pressure
      • Nasal Polyps & Obstructions
    • Neck & Throat

      • Throat Infections
      • Tonsillitis
      • Symptoms of Thyroid Problems
    • Voice & Swallowing

      • Hoarse Voice & Swallowing Issues
      • Vocal Cord Issues
    • Snoring & Sleep Apnea

      • Obstructive Sleep Apnea
      • Stop Snoring
  • Treatments
    • Ears

      • Treating Ear Infections
      • Louisville Family Audiology
    • Sinus & Nose

      • Balloon Sinuplasty
      • Nasal Polypectomy
      • Septoplasty
      • Turbinate Reduction
    • Neck & Throat

      • Tonsillectomy
      • Adenoidectomy
      • Uvulopalatopharyngoplasty
      • Thyroid Treatments
    • Pediatric ENT Services

      • ENT Problems in Children
    • Voice & Swallowing

      • Laryngitis Treatment
    • Snoring & Sleep Apnea

      • Snoring Treatments
      • Inspire for Sleep Apnea
  • Reviews
  • About Us
    • Meet the Team
    • Patient Intake Forms
  • Blog
  • Contact Us
    • Louisville, KY (Kresge Way)
    • Louisville, KY (Eastpoint Parkway)
    • Lagrange, KY
    • COVID-19 Updates
    • Pay Online
  • Conditions
    • Ears
      • Ear Infections
      • Auditory Neuropathy
      • Auditory Processing Disorder
    • Sinus & Nose
      • Block Nose & Deviated Septum
      • Stuffed Nose & Sinus Pressure
      • Nasal Polyps & Obstructions
    • Neck & Throat
      • Throat Infections
      • Tonsillitis
      • Symptoms of Thyroid Problems
    • Voice & Swallowing
      • Hoarse Voice & Swallowing Issues
      • Vocal Cord Issues
    • Snoring & Sleep Apnea
      • Obstructive Sleep Apnea
      • Stop Snoring
  • Treatments
    • Ears
      • Treating Ear Infections
      • Louisville Family Audiology
    • Sinus & Nose
      • Balloon Sinuplasty
      • Nasal Polypectomy
      • Septoplasty
      • Turbinate Reduction
    • Neck & Throat
      • Tonsillectomy
      • Adenoidectomy
      • Uvulopalatopharyngoplasty
      • Thyroid Treatments
    • Pediatric ENT Services
      • ENT Problems in Children
    • Voice & Swallowing
      • Laryngitis Treatment
    • Snoring & Sleep Apnea
      • Snoring Treatments
      • Inspire for Sleep Apnea
  • Reviews
  • About Us
    • Meet the Team
    • Patient Intake Forms
  • Blog
  • Contact Us
    • Louisville, KY (Kresge Way)
    • Louisville, KY (Eastpoint Parkway)
    • Lagrange, KY
    • COVID-19 Updates
    • Pay Online
  • Patient Forms
  • Pay Online
  • Schedule an Appointment

Patient Forms

Patient Intake Forms

New Patient Forms

Please complete all four forms in the New Patient Packet prior to your first appointment. After you complete one form you will be redirected to the next.

  • New Patient Packet

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Medically reviewed by Dr. Chmiel, M.D., Dr. Murphy, M.D. & Dr. Secor, M.D. in October 2020