(860) 456-0287
(860) 886-6610
(860) 537-1903

Contact & Forms

Contact Us

Eastern Connecticut Ear, Nose and Throat, P.C.

3 Locations:

36 Watson Street
Willimantic, CT 06226
(860) 456-0287
fax (860) 456-8382

Mon-Thurs: 8:30-5 | Fri: 9-5

79 Wawecus Street
Norwich, CT 06360
(860) 886-6610
fax (860) 456-8382

Mon, Tues, Thurs: 8-5 | Weds: 8:30-5 | Fri: 9-5

914 Hartford Turnpike
Suite 102
Waterford, CT 06385

Mon: 1:30-5 | Thurs: 8-12 | F 9-5
Please call ahead for current schedule.

Contact form

Please do not use this form to request URGENT appointments. If you are experiencing an emergency, please call 911.

New Patient Packet & Health Forms

Allergy and Allergist Information If you are scheduled for Allergy Testing, please complete this Allergy History Information sheet and bring with you. Thank you for your cooperation. Download

Medical History Information If you are a New Patient or Established Patient and have had any changes to your health since your last visit, please complete this form and bring it with you to your scheduled appointment. Thank you for your cooperation. ATTENTION: Minors under the age of 18 must be accompanied by a parent or legal guardian! Download

Patient ENT Registration Form To expedite your registration please download and complete this Patient Registration Form and bring to your scheduled appointment. Thank you for your cooperation. Download

Records Release If you would like to have your medical records released, please complete this Medical Records Release Form and either mail, fax or drop off. Thank you for your cooperation. Download

Office and Financial Policy Agreement Thank you for selecting Eastern Connecticut Ear, Nose & Throat PC (ECENT) for your medical needs. Our goal is to provide the highest quality medical care to our patients. Please read the following policy to help answer your questions regarding the business aspect of your visit. Download