Huntington, New York Ear Nose and Throat Doctor - Robert Feld, MD Patient Forms
Robert Feld, MD, FACS, LLC

Huntington Ear, Nose, and Throat Physician
Board Certified Otolaryngology
Adult and Pediatric ENT

205 East Main Street, Suite 2-4
Huntington, Long Island, NY 11743
(631) 673-6868
Huntington, New York Ear Nose and Throat Doctor - Robert Feld, MD Patient Forms

Dr. Robert Feld welcomes all new patients! To assist us in making your appointment efficient and smooth, please print out, complete and bring the following information with you when you visit our office for the first time.

If the forms fail to open, please use this link to download Adobe Reader.

  Patient Registration Form

  Allergy, Medication, Hospitalization & Surgery Questionnaire

  Notice of Privacy Practices Form