Referral Form for Providers
Welcome to the North Atlanta ENT & Allergy! We are pleased to offer a comprehensive range of specialty services in addition to general ENT care.
If you are a current physician that is interested in referring a patient to us, please download and fill out the form below. Once completed, fax the form to 770-262-3046.
Please take a moment to review the list of services provided below before making your referral. It’s important to note that certain procedures may not be performed by all of our providers.
Specialty Services:
- Allergy Testing
- Immunotherapy, including allergy shots and sublingual allergy drops
- Audiology services, such as audiogram/tympanogram, hearing aid evaluation, fitting, and maintenance, as well as ear plug molds
- Home sleep study
- Inspire (Dr. Eltahir or Dr. Van Deusen only)
- CT Sinus (Cumming and Alpharetta)
- Aesthetics (Sally Sfeir, PA-C) Self-pay only, including Botox/Juvéderm, microneedling, chemical peels, and InMode/Morpheus
- Procedures to treat nasal drainage: ClariFix, RhinAer, NeurENT
- Procedures to treat nasal valve collapse: VIVAER, Nasal Valve Suspension Suture, LATERA
- Head & Neck cases, please refer to Dr. Eltahir or Dr. Van Deusen only