Advanced ENT


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(404) 943-0900
960 Johnson Ferry Rd NE
Suite 200, Atlanta 30342
  • Home
  • Our Practice
    • Meet the Doctors
      • G. Aaron Rogers, MD FACS
      • Steven Bomeli, MD
      • Samuel Mickelson, MD FACS
      • Andris R. Golde, MD FACS
      • Nicole Khoury, PA-C
      • Faraa Mobini, PA-C
      • Samantha Kanuck, PA-C
      • Kimberly Wahler, PA-C
      • Stacy Pickelman, AuD
      • Preston Lewis, AuD, CCC-A
    • New Patient Registration Forms
    • Insurance Plans
    • Directions & Contact
    • Blog
    • !COVID INFO!
  • Sinus
    • Nasal Allergies
      • Overview
      • Allergy Drops
    • Deviated Septum
      • Septal Deviation Repair
      • Incisionless Septoplasty with Dr. Rogers
    • Recurrent Acute Sinusitis
    • Chronic Sinusitis
      • Overview
      • Chronic Sinusitis Diagnosis
      • Nasal Polyps
      • Non-Surgical Treatments
      • Balloon Sinuplasty
      • Sinus Surgery and Other Treatments for Sinusitis
    • Other Sinus Procedures
      • Overview
      • Treatment of Nasal Valve Collapse
    • Loss of Smell
    • Eustachian Tube Dysfunction
  • Hearing Loss
    • Overview
    • How We Hear
    • Testing Hearing Loss
    • Hearing Loss Types
    • Treating Hearing Loss
    • Tinnitus Treatment
  • Thyroid and Parathyroid
    • Overview
    • Thyroid Nodules & Disorders
    • Thyroid Ultrasound & Biopsy
    • Minimally Invasive Thyroidectomy
    • Parathyroid Surgery
  • Snoring and Sleep Disorders
    • Overview
    • Snoring and Sleep Apnea
      • Overview
      • Diagnosis
      • Non-Surgical Treatments
      • Surgical Treatments
        • Inspire
    • Other Sleep Disorders
      • Normal Sleep & Dreams
      • Restless Leg Syndrome
      • Narcolepsy
      • Insomnia
      • Sleep & Fibromyalgia
      • The Parasomnias
      • Circadian Rhythm
      • REM Sleep & Dreams
      • Sleep Studies
  • Other Disorders
    • Vertigo & Dizziness
      • Overview
      • Other Causes of Dizziness
    • Ear Infections
    • Head & Neck Cancer
    • Voice Disorders
    • Spasmodic Dysphonia
    • Salivary Gland Disorders
      • Overview
      • Minimally Invasive Parotid Surgery
      • Salivary Endoscopy
      • Salivary Stones
    • New Neck Lumps
  • Bill Pay

New Patient Registration Forms

Below are forms used for your visit(s) in our office.  You can fill these out in person about 20 minutes before your visit, or it is preferred you fill them out at home and bring them in!  If you are having trouble with the PDF fillable forms, simply right-click the file and “Save Link As…” to download and open the form on your computer.

Pre-Registration Packet – This includes all the forms for your initial visit. Please FILL OUT, PRINT AND BRING TO YOUR INITIAL VISIT WITH US.

Sleep Disorders Questionnaire – For any patient getting evaluated for snoring, sleep apnea, insomnia or narcolepsy.

Medical Records Release Form – For transferring records TO our office or FROM our office to another.

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    Advanced Ear, Nose & Throat Associates
    960 Johnson Ferry Rd NE, Ste 200
    Atlanta GA 30342
    Phone: 404-943-0900
    Fax: 404-943-1390

    Advanced Hearing Centers
    Advanced Sleep Centers
    Dr. G. Aaron Rogers
    Dr. Steven Bomeli
    Dr. Sam Mickelson
    Dr. Andris Golde
    Stacy Pickelman, AuD
    Preston Lewis, AuD
    Faraa Mobini, PA-C
    Nicole Khoury, PA-C
    Samantha Kanuck, PA-C
    © 2021 Advanced ENT Associates, PC | Site Map | TOS/Privacy Policy | Advanced ENT | Advanced Hearing Center | Advanced Sleep Lab