Patient Info

Welcome to all our new patients and established patients!

Thank you for choosing Northwoods Ear, Nose & Throat!  Where we provide the quality and compassionate care you deserve!

We understand that your time is valuable.

In order to make your first visit with us as worthwhile as possible, we ask that you prepare ahead of time by filling out our patient forms and arriving at least 20 minutes prior to your appointment time. Please bring your photo ID and all insurance cards to every appointment so we can ensure that your policy is active and will cover your visit.

All copays, co-insurances and deductibles are due at when you check in for your appointment. Patients without insurance are required to pay in full at the time of service.  

Patient portal:  If you prefer to use email or if your appointment is scheduled soon so there wouldn’t be sufficient time to mail out your paperwork, we can email all forms in pdf format to you thorough the patient portal.  These must be hand carried to the office; email is not secure and completed forms should never be emailed. To receive your portal information, please call the office and ask the staff for a password.  231-348-5900

We participate with the following insurances including:

  • Aetna
  • Blue Cross Blue Shield, Blue Care Network and Blue Cross Blue Shield Medicare Advantage PPO and Medicare Plus Blue.  (BCBS HMO plans require a referral from your PCP)
  • Cigna
  • ChampVA
  • Priority Health, Priority Medicare and Priority HMO plans.  (HMO plans require a referral from your PCP)
  • Medicare
  • Medicaid (Straight Medicaid)  as a primary insurance and as a secondary insurance
  • Medicaid Commercial plans: Molina, Meridian, McLaren (some do require prior authorizations)
  • Tricare, Tricare for Life, Tricare Prime

Note: We are in the process  of contracting with United Health Care

Insurance is a contract between a patient and their insurance company, not our medical practice. At all times, patients are responsible for understanding their own insurance. We will bill your insurance for services provided and accept payment from them on your behalf. Any balances due are your responsibility.

*Please bring your completed forms to your appointment and our friendly registration staff will assist you at check-in.*

“Keep a healthy head  on your shoulders”

Please complete the forms below if you do not want to use online patient registration. Print out and bring these forms with you to your appointment.

Patient registration form

PAYMENT POLICY FOR NORTHWOODS EAR
  
Patient health history form

Patient Acknowledgement and Consent Form

Audiology History Forms – Complete the appropriate history form below:
Adult 15 years +
Pediatric 4-14 years

Pediatric 0-3 years

Dizziness Questionnaire

Medical Record Form – Compete form below to obtain a copy of your medical records or request records be sent to another physicians:

Patient Access Form

Patient Portal

 

Visit Us!

Northwoods Ear, Nose & Throat, PC

Dr. James J. Slater DO, FAOCO

Maria Thompson MA, CCC-A
Audiologist

(231) 348-5900

Petoskey Location:

2611 Charlevoix Ave.
Petoskey, MI 49770

 

Cheboygan Location:

125 N. Main St.
Cheboygan, MI 49721

Visit us on RealSelf.com