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For Our Patients

Everything You Need
Before Your Visit

We believe that a well-prepared patient has a better experience. Find your insurance information, download intake forms, and access your patient portal — all in one place.

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Getting Started

Your First Visit, Step by Step

We've made the new patient process as simple and stress-free as possible. Here's what to expect from the moment you book until you leave our office.

1

Book Your Consultation

Call us at (310) 464-2257 or use our online booking form to schedule your appointment. Let us know your primary concern and preferred physician so we can prepare accordingly.

2

Verify Your Insurance

Use the verification form below or call our office to confirm your insurance benefits before your visit. We will contact you with your coverage details and any estimated out-of-pocket costs.

3

Complete Your Intake Forms

Download and complete your new patient intake forms before your appointment. Bringing completed forms saves time and allows your physician to review your history before you arrive.

4

Attend Your Consultation

Arrive 10 minutes early with your completed forms, insurance card, and photo ID. Your physician will conduct a thorough evaluation and discuss your options in detail.

Insurance & Coverage

We Accept Most Major Plans

ZMD ENT accepts a wide range of insurance plans for covered ENT services. We are committed to making excellent care accessible and will work with you to maximize your benefits and minimize out-of-pocket costs.

Please note that coverage varies by plan and procedure. Some services, including cosmetic procedures, hair transplantation, and certain aesthetic treatments, are not covered by insurance and are provided on a self-pay basis. We will always discuss expected costs before any treatment begins.

Aetna
Blue Cross Blue Shield
Cigna
United Healthcare
Humana
Medicare
Anthem
Kaiser
And More
Important: Insurance participation and coverage are subject to change. Please verify your specific plan's participation and benefits before your appointment. Coverage for specific services depends on your plan, deductible, and medical necessity criteria. Coverage is not guaranteed.

Verify Your Benefits

Complete this form and our team will contact you within one business day with your coverage details.

By submitting this form, you consent to our team contacting you regarding your insurance benefits. This is not a guarantee of coverage. All coverage determinations are made by your insurance carrier.

Intake Forms

New Patient Forms

Download and complete your forms before your appointment to save time and ensure your physician has everything they need to provide the best possible care.

All New Patients

New Patient Intake Form

Complete medical history, current medications, allergies, and reason for visit. Please bring this completed form to your first appointment.

Download PDF
All Patients

Insurance & Authorization Form

Insurance information, assignment of benefits, and authorization for treatment. Required for all patients using insurance for their visit.

Download PDF
All Patients

HIPAA Privacy Notice & Acknowledgment

Our Notice of Privacy Practices and your acknowledgment of receipt. Required by federal law for all new patients at their first visit.

Download PDF
Pediatric Patients

Pediatric Patient Intake Form

Specialized intake form for pediatric patients including developmental history, immunization status, and pediatric-specific medical history fields.

Download PDF
Surgical Patients

Surgical Consent & Pre-Op Form

Pre-operative health questionnaire and surgical consent documentation. Your surgeon will review this with you before any procedure is scheduled.

Download PDF
All Patients

Financial Policy Agreement

Our financial policy, payment expectations, and credit card authorization form. Please review before your first appointment and bring a signed copy.

Download PDF

Prefer to complete forms electronically? Access them through our Patient Portal or call (310) 464-2257 and we will email them to you.

Financial Policy

Transparent Financial Policy

We believe in complete transparency about costs. Here is everything you need to know about payment, insurance, and financing at ZMD ENT.

Insurance & Billing

We will file claims with your insurance on your behalf for all covered services. You are responsible for any co-pays, deductibles, and non-covered services at the time of your visit.

Please bring your insurance card and a valid photo ID to every appointment. We will verify your benefits prior to your visit and notify you of any expected out-of-pocket costs.

  • Co-pays due at time of service
  • Deductibles applied per your plan
  • We file claims on your behalf
  • Balance billing statements sent monthly

Self-Pay & Cosmetic Services

Cosmetic procedures, hair transplantation, and certain aesthetic services are not covered by insurance and are provided on a self-pay basis. Pricing is provided during your consultation.

We accept all major credit cards, cash, and offer financing through CareCredit for qualified patients. A deposit may be required to schedule surgical procedures.

  • All major credit cards accepted
  • CareCredit financing available
  • Transparent pricing before treatment
  • Surgical deposits required

Cancellation Policy

We ask that you provide at least 24 hours' notice if you need to cancel or reschedule your appointment. This allows us to offer your appointment time to another patient who may be waiting for care.

Late cancellations (less than 24 hours) and no-shows may be subject to a cancellation fee. Surgical cancellations may result in forfeiture of the surgical deposit depending on timing.

  • 24-hour cancellation notice required
  • Late cancellation fee may apply
  • Surgical deposit policies apply

Financing Options

We understand that elective procedures represent a significant investment. We offer financing through CareCredit to help make treatment accessible. Approval is subject to credit qualification.

CareCredit offers flexible payment plans with low monthly payments and promotional financing options. Apply online before your appointment to know your financing options in advance.

  • CareCredit financing available
  • Apply online before your visit
  • Flexible payment plan options
  • Subject to credit approval
Patient Portal

Manage Your Care Online

Our secure patient portal gives you 24/7 access to your health information, appointment details, and communication with our team — all from your phone, tablet, or computer.

You will receive an invitation to create your patient portal account after your first appointment. If you have not received an invitation, please contact our office and we will send one promptly.

Request & View Appointments

Request new appointments and view your upcoming and past visit history.

Access Medical Records

View your visit summaries, test results, and medical records securely online.

Secure Messaging

Send non-urgent messages to your care team and receive responses within one business day.

Prescription Requests

Request prescription refills and view your current medication list.

Pay Your Bill

View and pay outstanding balances securely through the portal.

Access Patient Portal Get Portal Help
Patient using online patient portal on tablet
Patient FAQ

Frequently Asked Questions

Please bring your completed new patient intake forms, insurance card, photo ID, list of current medications, any relevant imaging (CT scans, MRI, etc.) on CD or digital format, and a list of questions for your physician. Arriving 10 minutes early allows time for check-in and any remaining paperwork.
The best way to verify coverage is to use our insurance verification form above or call our office directly. We will contact your insurance carrier to confirm your benefits and provide you with an estimate of any expected out-of-pocket costs before your appointment. Coverage depends on your specific plan, deductible status, and medical necessity criteria.
Yes, we offer telehealth consultations for appropriate cases, including follow-up visits, medication management, and initial consultations for certain conditions. Some evaluations require an in-person visit for physical examination or in-office procedures. Please call our office to determine whether a telehealth visit is appropriate for your needs.
New patient consultations typically take 45–60 minutes, including check-in, the physician evaluation, and time for questions and discussion. More complex cases or those requiring in-office testing may take longer. We schedule adequate time for each new patient to ensure a thorough, unhurried experience.
Yes. You have the right to access your medical records. You can request records through our patient portal, by calling our office, or by submitting a written records release request. Records are typically available within 5–10 business days. A nominal fee may apply for extensive records requests per California law.
Our physicians have an extensive network of trusted specialists across all medical disciplines. If your care requires coordination with another specialist — such as a neurologist, oncologist, or allergist — we will provide a referral and coordinate communication to ensure seamless, comprehensive care.
Ready to Begin?

Schedule Your Consultation

Our team is ready to answer your questions, verify your insurance, and schedule your first appointment. Experience the ZMD ENT difference.

Book Your Consultation (310) 464-2257
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