Randall S. Fong, M.D.

Otolaryngology-Head & Neck Surgery

7105 W. Hood Place, Suite A103
KENNEWICK, WA 99336
ph: 509-735-5551
fax: 509-735-5552

Patient Information, Education and Resources

Required Patient Forms

Below are mandatory forms you are required to review and complete prior to being seen by in our office. Virtually every medical practice, by law, is required to provide these essential documents. When you call and make you an appointment, you will be sent a link (via email or texted to your cell phone). If you are unable to do this electronically, please download, review and complete each of the three forms below prior to your appointment.

Patient Financial Responsibilities. Because you are ultimately responsible for the costs associated with your care, this document elaborates your financial responsibilities.

Notice of Privacy Practices. We are required to maintain the privacy of the health information you provide to us. This document describes how medical information may be used for your benefit, in order to optimize your health care.

Patient Intake (Medical History) If you are new to our practice or are an established patient who has not seen us for over a year, please download, print and complete the this form, and bring it with you on the day of your appointment. Believe it or not, the information you provide on this form is extremely helpful in optimizing your care, and will help expedite your seeing the provider in the most timely fashion.

Click on the following to review Balance Billing Protection Act: Your Rights and Protections Against Surprise Medical Bills and Balance Billing in Washington State

Problem-Specific Forms

If you need to be seen for specific reasons, please download the appropriate form, complete it and bring it with you to your scheduled appointment.

Dizziness/vertigo Questionnaire

Sleep Apnea Quesionnaire (Sleepiness Scale)

Patient Instruction Sheets

Following are various tips, remedies and instructions for a variety of common ENT problems. We often give these to our patients during their appointment, many of whom feel are quite helpful in improving or resolving their particular problem. Feel free to download these information and instruction sheets. (Note: These are not a substitute for a proper medical evaluation by a trained physician or healthcare provider, and meant for patients who have seen us or have been evaluated by another doctor or healthcare provider As always seek proper medical attention first).

Antibiotic (Bactroban) Nasal Rinse

Budesonide Steroid Nasal Rinse

Dizziness (Vestibular) Excercise Instructions

Ear Cleaning Solution and Methods

GERD (Gasteroesophageal Reflux)

Meniere's Disease (A Cause of Dizziness)

Nasal Rinsing, Cleansing

Nasal Spray Useage (Prescription and OTC)

Nose Bleeding (Epistaxis)

Over-the-counter (OTC) Medications

Over-the-counter (OTC) Medications for Children

Rhinitis Medicamentosa

Sialoadenitis (Salivary Gland Infection, Inflammation)

Tinnitus (ringing or noise in the ears)

TMJ (Temporal Mandibular Joint) Problems

Tonsil Stones (Tonsilliths)

We are a part of Proliance Surgeons, a team of independent, physician led care centers dedicated to providing exceptional outcomes, personally delivered.

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7105 W. Hood Place, Suite A103
KENNEWICK, WA 99336
ph: 509-735-5551
fax: 509-735-5552

Randall S. Fong, M.D.

Patient Information, Education and Resources

Surgery Information and Instructions

Articles of Interest (at KevinMD)

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