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Patient Information (Please Print)ADS # ___Name ___ SS#___ Last First Middle Home Address: ___ Street City State Zip Home Phone ___Cell Phone ___Birthdate ___Age ___Marital Status ___Spouses Name

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Alabama Ear, Nose, and Throat (ENT) is a medical specialty that focuses on the diagnosis and treatment of disorders related to the ear, nose, and throat.

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Information reported on Alabama Ear, Nose, and Throat (ENT) records includes patient demographics, medical history, diagnosis, treatment plan, and follow-up care details related to ear, nose, and throat disorders.

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