Patient Forms
Please print the patient forms you were asked to complete and bring each form to your appointment.
Audiology - Dizziness Questionnaire
Dependent Patient Packet
HIPPA Notice of Privacy Practices
New Patient Packet
Patient - Review of Systems
Personal Medical History
Privacy Policy Acknowledgement Form
Monty Barker M.D.
Paul Neis M.D.
Deborah J. Baker
Monte Hardin
Ear, Nose & Throat Associates
626 Burnett Drive
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Mountain Home, Arkansas 72653
Phone: (870) 424-4200
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Toll Free: 1-800-272-4180
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Fax: (870) 424-4327
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Ear, Nose & Throat Associates