ENT Express Care Clinic

THE ENT EXPRESS CARE CLINIC

Provides Innovative Medical Care

WITH SAME-DAY APPOINTMENTS AVAILABLE

For Non-Urgent Ear, Nose & Throat Conditions

EVERY FRIDAY

From 9am-12pm in the Clayton Office

and

2pm-5pm in the Cary Office

IF YOU ARE HAVING AN URGENT MEDICAL PROBLEM,

PLEASE CALL 911

ENT EXPRESS CARE CHECK-IN

Same Day Appointments Available EVERY FRIDAY!

Meghan DeMatta, PA-C Provides Expert ENT Care With Same Day Appointments Available Every Friday From 9 am - 12 pm at Our Clayton Location & 2 pm - 5 pm at Our Cary Location. Please Submit the Following Form to Expedite Your Visit!
Appointment Type and Location
A representative will contact you by email or phone to setup a telemedicine visit if requested.
Patient's Name(Required)
*Patient's name required for proper identification
Patient's Date of Birth(Required)
*Date of birth required for proper patient identification
Your Insurance Provider(Required)
Indicating your insurance allows us to more efficiently discuss the cost of your visit before proceeding
Mann ENT will never share your email or phone number with any 3rd party.
Preferred Method of Contact
If you are a returning patient, please list any new allergies that have developed since your last visit.
Please describe in a few words the reason for your visit today, and how long the problem has been present. "Loss of hearing in my right ear for two days" for example. You may include more than one symptom if this is appropriate.
Accepted file types: jpg, png, pdf, tiff, jpeg, bmp, mp4, wmv, Max. file size: 20 MB.
Please Include a Picture of the Problem Area if You Feel It Would Be Helpful
For each symptom noted above, please indicate the date of onset of this symptom, how long it tends to last, how often it happens, how severe it is on a scale from 1-10 (10 being the worst), any factor that makes it better or worse, and any strongly associated factors.
Please list your medications here if you are a new patient, or any new medications since your last visit if you are a returning patient. You may also include any issues with medications previously prescribed by Mann ENT.
Please indicate the name of your preferred pharmacy and the city or street location
Please indicate any surgical procedures you have undergone since your last visit with us.
Please tell us of any medical condition that has been diagnosed since your last visit.
Please include the name of the doctor or practice that referred you to the ENT Express Care. If you found us from another source, such as a friend or the internet, please let us know.
Please indicate either your Primary Care Provider's name or their practice name and location
If you would like to include anything else we should know, simply type it here.
This field is for validation purposes and should be left unchanged.

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