Patient Information

Office Hours

Our Newburyport and Haverhill office hours are:

A doctor from the practice is available 24 hours a day for emergent or urgent care. During our off hours, our answering service will gladly take a message and contact the physician on call. For any questions, please call 978-997-1550. Both of our offices are handicapped accessible to meet the needs of all our patients.

Patient Forms

New Patients

New patient registration forms will be part of your online check-in process.  Please make sure we have the correct cell phone number to reach you.

Prior to your appointment (roughly 5 days and 1 day ahead), you will receive a text with a link to fill out any required forms for your appointment.

If you do not have a cell phone or email address please print and complete the New Patient Information packet here and bring it with you to your appointment:

Other Forms

To obtain a copy of your medical records please print and complete this form:

We look forward to helping you with your allergies and to guide you through the various treatment options. An allergy skin test is easy to perform and is pain free. This will give us immediate results that can help us pinpoint your allergies. This can be done for environmental and food allergies.

The goal of an allergy skin test is to identify the presence, type, and severity of allergies, which are an abnormal response your body has to certain substances in the environment.
Allergy skin testing is typically performed on the forearm or back, and takes approximately 90 minutes. The test is done on both adults and children of most ages.

Listed below please find 2 links: allergy skin testing instructions and medication that interfere with testing. Please review these prior to your testing appointment, as many medications can interfere with allergy testing. It is important that you follow the instructions for allergy testing so that accurate results can be determined. Failure to do so may result in a return visit.
If you have a history of asthma, you should bring your albuterol inhaler with you to your testing appointment.

If after reading through the allergy skin testing instructions and medication guide, you have additional questions please contact the Allergy department at 978-997-1550 and we will be happy to assist you further.

New Patients

New patient registration forms will be part of your online check-in process.  Please make sure we have the correct cell phone number to reach you. Prior to your appointment (roughly 5 days and 1 day ahead), you will receive a text with a link to fill out any required forms for your appointment. If you do not have a cell phone or email address please print and complete the New Patient Information packet here and bring it with you to your appointment:

Other Forms

To obtain a copy of your medical records please print and complete this form:

Billing Information

We accept most medical insurances carriers including:

Please contact your insurance company if you have additional questions regarding coverage for allergy, audiology services and/or cosmetic procedures.

If you are uninsured, arrangements should be made with the billing department prior to your appointment. We will gladly work with you should you have a serious financial hardship. These arrangements must be set up prior to your appointment.

You may need a referral from your Primary Care Physician

Some insurance companies require patients to have a referral from a primary care physician in order for your visit to be paid.  If you have a PPO (Preferred Provider Organization) plan referrals are not required.

It is the patient’s responsibility to request/obtain an insurance referral if needed for their upcoming appointment.  Contact your insurance carrier with any questions.

Cancelation / No Show Policy

Colden & Seymour Ear, Nose, Throat & Allergy Physicians is a specialty practice.

We require 48 hours advanced notice to cancel an appointment.   If we do not receive a 48-hour notice, we reserve the right to bill the patient a $50 no show charge.

No show appointments will be billed @ $50.00.

We Accept

Contact our Billing Department

If you have any additional questions, please contact our Office Administrator directly, at 978-997-1561.