Patient Information

Please be sure to bring the following to your Initial Consultation:

• Photo identification
• Insurance cards
• List of any medications you are taking with dosages
• New Patient Consult forms

 

We participate with the following insurance companies:

• Aetna
• Alliance PPO
• Benesight
• Blue Cross/Blue Shield
• CNN Champus/Tricare
• Cigna
• GEHA
• Humana
• MAMSI
• Medcost Medicaid/Carolina Access Medicaid
• Medicare/Railroad Medicare
• North Carolina Healthchoice
• PHCS Principal
• State Health Plan
• Tricare for Life
• United Healthcare
• Wellpath

 

Patient Forms

New Patient Consult
(please print, complete and bring to your visit)
Brief History
Registration form
HIPPA form
Payment Policy
Family History Form

Post Operative Instructions
Adenoidectomy
Bilateral Myringotomy Tubes
Septoplasty
Tonsillectomy
Epistaxis/Splint Removal Instructions

Allergy Forms
Allergy Testing Instructions
Allergy Confirmation Instructions
Allergy Vial Refill

Audiology Forms
ABR/ENG Testing Instructions
BPPV Information
Cawthorne’s Head Exercises for Vertigo

Other
Lifestyle Modification for GERD
Lifestyle Modification for TMJ
Salivary Gland Protocol

 
This information does not constitute medical advice, and is for information and education purposes only. We cannot answer questions nor give any advice through e-mail. Please consult your physician for specific treatment recommendations. The information obtained through this service, and the information which you receive through the Internet is only for general guideline purposes, and is not an ultimate source of information, nor something which you should rely on as a sole source for your medical care. All medical and therapeutic decisions must come from your health care provider. The authors, editors, producers, sponsors, and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, adverse consequence alleged to have happened directly or indirectly as a consequence of this material.

Serving Johnston, Wake, Harnett, Wayne, Wilson and Sampson Counties.

Dr. N. Daniel Catz MD FACS, 919.934.0948, Located in Smithfield, NC

927 North Brightleaf Blvd., Smithfield, NC 27577 919.934.0948