INSURANCE INFORMATION
We want to make it as easy as possible to get the care you need
TELEMEDICINE
Riviera ENT is dedicated to providing ENT care even in times of crisis. Thanks to modern technology, we will still be able to provide new and existing patients with a direct avenue of communication to their ENT physicians. While this is an excellent surrogate option for some of our patients, our office is still open for urgent ENT issues.
CONSENT FOR TELEMEDICINE
We request your consent for telehealth by asking you to complete this online form found HERE.
If you would like a copy of Riviera ENT's telehealth consent, you may find it HERE or request that we email this to you.
TIPS FOR A SUCCESSFUL TELEMEDICINE VISIT
Check your internet connection
Make sure your audio and video are working and enabled
Please check in at least 20 - 30 minutes before your visit using your cell phone, tablet, laptop or desktop
Find a quiet, private location if possible
Check your lighting
Write down problems and questions ahead of time
Dress appropriately for the visit
Consider using headphones
Be an active participant in the exam
Have a trusted assistant if necessary
CLICK HERE to enter the portal and view your chart
We proudly offer direct web portal access for our patients. For new patients, the secure online portal allows you to complete your pre-visit paperwork prior to your visit. This will save time for your first visit and ensure that your medical information is accurate. Please sign up with this portal to access your chart.
To schedule an appointment:
please call 805-327-6673, or
email us at info@rivieraent.com, or
message through the patient portal
WHAT TO BRING TO YOUR APPOINTMENT
For new patients, completing our online portal is the best way to prepare for your visit. Your health information is secure and protected through the portal and will save you time on your first visit.
To help us give you the best possible appointment experience, please bring with you:
A photo ID and health insurance card
If you have not completed the portal:
A list of all your medications and allergies
Your medical history
Your preferred pharmacy
PLEASE ARRIVE 15-20 MINUTES EARLY TO COMPLETE PAPERWORK
Pertinent Outside Medical Records
Please complete the MEDICAL RECORD RELEASE FORM ahead of your visit
Copies of outside imaging studies, including the actual images themselves if possible
If your child will be coming with a non-parent or non-legal guardian, you will need to have completed the PREAUTHORIZATION TO TREAT MINORS CONSENT FORM before the visit
We thank you for your diligence and look forward to seeing you at your appointment!
FORMS
All of the forms needed will be available on the patient portal. You can also find them listed below:
NEW PATIENT COMPLETE INFORMATION PACKET
This contains all of the forms needed for patients new to Riviera ENT.
If you have completed the online portal, you do not need to complete this form. Please print and complete this form and email to us at or fax it to (805) 679-5183, ideally at least 3 business days before your appointment.
NEW PATIENT CURRENT PROBLEM FORM
This is a single-page form that will be completed on your first visit to Riviera ENT. This information pertains to your complaints and conditions on the day of your visit and is not able to be entered into the portal.
You may print and complete this form and email to us at or fax it to (805)679-5183, ideally 1-2 days before the appointment, or bring it in with you.
RETURN PATIENT UPDATE FORM
This is a single-page form that will need to be completed for follow-up visits. Please note that patients seen in other practices are considered to be new from a paperwork standpoint at their first visit to Riviera ENT.
Please print and complete this form and email to us at or fax it to (805)679-5183, ideally 1-2 days before the appointment, or bring it in with you.
MEDICAL RECORD RELEASE FORM
For our patients who have been treated in other practices or by other doctors for similar issues, it is very helpful for us to have access to your prior treatment records.
Please print and complete this form and email to us at or fax it to (805)679-5183, ideally at least 3 business days before your appointment.
PREAUTHORIZATION TO TREAT MINORS CONSENT FORM
This form authorizes Riviera ENT to treat a minor who is accompanied to the office by an adult other than a parent or legal guardian.
Please print and complete this form and email to us at or fax it to (805)679-5183, ideally at least 3 business days before your appointment.
**This or similar documentation from a minor's parent or guardian is necessary to treat the minor if their parent or guardian cannot be present for an appointment.**
NOTICE OF PRIVACY PRACTICES
This is our Notice of Privacy Practices that discusses how medical information may be used and how you can gain access to this information.