New Patients

If you are a new patient, please fill out the forms located below and bring them with you to your first appointment. Along with allowing us to serve you in a timely manner when you arrive for your appointment, doing so helps ensure that we have all of the information we need to process your paperwork and insurance claim.

If you are a returning patient and any of your information has changed since we last saw you, such as your address or insurance carrier, please take a moment to fill in a New Patient Information Sheet.

When you visit us it’s important that you bring the following items:

  • Patient intake / information sheets
  • Insurance card
  • Photo identification card, such as a driver’s license
  • Referral form from your primary care provider (if required by your insurance provider)

We look forward to seeing and serving you.


Thank you for choosing Dr. Light for your ear, nose, and throat care. Our patients’ comfort levels are always our priority. Call our office today to schedule an appointment

By Phone:

If you would like to speak with one of our staff, we will be happy to take your call during regular business hours at 561-349-6627.