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New Patients

We would like to welcome you to our clinic. If, for any reason, you cannot keep your appointment, please call our office at 859-745-1010 or toll-free at 1-866-966-7468 as soon as possible and we will be glad to reschedule your appointment for a more convenient time. Calling to cancel or reschedule your appointment will free up time on our schedule for other patients that may need to be seen at an earlier time.

It is our mission to provide all of our patients with the best quality and the most up-to-date care available. At the bottom of the page, you will see a link for our Office Policies & Procedures, Consent for Services and Financial Policy and Responsibility for your perusal and signature. We have also enclosed our Patient Registration Form and Patient Privacy Consent Form for you to complete prior to your scheduled appointment so that we can expedite your registration process. Please find a copy of our Notice of Privacy Practices at the bottom of this page.

If you do not live in Winchester, click here for a map and directions to our office which is located on the old Clark Regional Medical Center hospital grounds.

Now we are thrilled to offer our patients a new feature – the NextGen Patient Portal (NextMD)! The Patient Portal is a secure, confidential, and easy-to-use Web site that gives patients and their families 24-hour access to their medical records. It uses the latest encryption technology to deliver secure communication between patients and physicians. By signing up and enrolling with the Patient Portal, you will be able to:

1. Exchange secure messaging with your physician and staff members
2. Request medication renewals
3. Request appointments
4. Access your health record
5. Maintain account information including username, password, access privileges, and email address
6. Ability to pay your statement online.

Please click here to access the NextGen Patient Portal. First, you have to enroll and must have a username and password to access the Patient Portal. Please contact our office to obtain this information. PLEASE DO NOT USE THE PATIENT PORTAL FOR URGENT CARE MATTERS. If you believe you are experiencing an urgent or life-threatening health condition, you should call 911 or go to an emergency room.

If you have any problems with NextGen Patient Portal, please click here to access the Patient Portal User Guide.

If you have any questions concerning our policies please feel free to call us and we will be happy to answer any questions you may have. We look forward to seeing you soon. Once you've filled out the forms, either print and fax them to us at 859-745-0080, print and mail them to Clark Clinic B, 225 Hospital Drive, Suite 265, Winchester, KY 40391, or print and bring them with you to your appointment.

Thank you and welcome to
Bluegrass Ear, Nose & Throat Clinic, PSC, PSC


Form 1: Patient Registration Form

Form 2: Office Policies & Procedures, Consent for Services and Financial Policy and Responsibility

Form 3: Patient Privacy Consent Form

Form 4: Notice of Privacy Practices

Form 5: Designation of Another Person to Consent