ENT Patient Forms
New Patient Forms Allergy Forms Policies
Audiology Patient Forms
Health History New patients, please complete this audiology case history form and bring it with you during your first appointment. Existing patients, please complete this form if you’ve had any changes. HIPAA Policy Please sign and date this form and bring it with you to your first appointment. Existing patients should not need this form….
First Time Visit
1. Confirm Your Appointment Our office staff will call you 24 hours before your appointment to confirm that your scheduled time is still convenient. Please let us know if you’re unable to attend your scheduled appointment, and we will try to accommodate a new time and date. 2. Don’t Forget ID, Insurance & Test Results…
Insurance, Fees & Payments
To help keep costs down, we ask that you pay for services or any deductibles at the time service is rendered. Your Specialist co-pay or a $25 minimum payment will be collected at the check-in window before each visit or your appointment will be rescheduled. If surgery is a part of your recommended treatment plan,…
Patient Portal
With portal access you will be able to: Review your medical records online in a safe & secure environment Communicate privately with physicians via secure messaging View test and lab results, read medical notes from your doctor Update your health information (allergies, medications, conditions, etc.) Request Rx refills Request, change, or cancel appointments Print out…
ENT & Allergy Center
Kristin Moorefield
Peggy A. Warner
Dr. Warner joined Blue Ridge Hearing Aids and Audiology in 2015. Prior to her employment at Blue Ridge Hearing Aids and Audiology she was selected for and completed a year-long externship at the VA in Seattle, WA where she had unique clinic opportunities such as vestibular testing and cochlear implant mapping. Education: Au.D. – Audiology,…
Carole Stephens Read
Carole received her Masters of Education degree in Audiology at the University of Virginia and has been practicing audiology in Lynchburg since 1982. Prior to her employment at Blue Ridge Hearing Aids and Audiology she was Director of Services at Central Virginia Audiology Services. Education: M.Ed. – Audiology, University of Virginia (1980)B.A. – Psychology, Averett…
Indre Lithyouvong
Degree: Lynchburg College – Doctor of Medical Science, 2018Lynchburg College – Master of Physician Assistant Medicine, 2017 Board Certification: National Commission on Certification of Physician Assistants, 2017 Special Interests: ENT Hobbies: Healthy cooking, exercising, hiking, and playing board games