New Patient Forms

Synergy ENT Specialists would like to extend a warm welcome to you!

In order to prepare for your appointment, we ask that you to complete some paperwork PRIOR to your visit.

Simple click on the link per physician you are seeing and follow the steps. Once all of the information is complete, click “submit” and the information will be sent to us securely.

  • If seeing Drs. Rita M.Schuman or Jeffrey T. Steitz at our Festus office, click HERE
  • If seeing Dr. Jeffrey T. Steitz at our St. Louis office, click HERE
  • If seeing Dr. James D. Gould at our Festus officeclick HERE

We are happy to assist along the way, simply give us a call – 636.931.7380!

**If you are unable to complete the paperwork prior to your appointment, we kindly ask you arrive 30 minutes before your appointment.**

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Festus, MO
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