© 2019 by Randolph Health Ear Nose & Throat / 124 North Park Street, Asheboro, NC 27203 / P 336-625-1007  F 336-625-0350

Prescription Refills

To expedite the refilling of your prescription, contact your pharmacy for a refill. Even if your prescription has expired, your pharmacy may obtain a new prescription by calling our office. Calling the office directly could result in a delay in obtaining the necessary refill. If your doctor has asked to visit with you prior to providing you with a refill, please contact the office to schedule an appointment within enough time to avoid a lapse in medication. Typically, there is a 48-hour wait for your refill. Medication refills will not be called in after normal business hours. If you will require a medication refill prior to your next scheduled visit, please inform your physician during your current visit.


Patient Forms


Patient Forms may be faxed to 336-625-0350 or can be brought in at your next visit.


Adult Patient Registration (English)
Adult Patient Registration (Spanish)

Adult Patient History
Child Patient History

Acknowledgement of Receipt of Privacy Notice (English)
Acknowledgement of Receipt of Privacy Notice (Spanish)

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)

Insurance Participation

Accepted Insurance Plans 2018

  • Aetna

  • BCBS

  • Cigna/Great West

  • Coventry Health Care/First Health

  • Dart/Inetico

  • Humana

  • MedCost

  • Medicaid

  • Medicare

  • Multiplan

  • NC Health Choice

  • Railroad Medicare

  • Tricare East/Humana Military

  • United Health Care

  • US Department of Labor

  • Veterans Choice Program (VA Choice)

  • Various Workers Comp Carriers:

    • Corvel/CorCare/Care IQ

    • One Call Care (Formally Align)

    • Berkley Comp Care/Med Advantage

    • Select Medical/RPN/SPN

    • Heritage Summit Healthcare

    • Key Scripts

    • MedRisk

    • Sedgwick Provider Network (SPN)

    • Workwell

Medicare Advantage Plans 2018

  • AARP Medicare Complete Plan I & II

  • AARP Medicare Complete Choice

  • Advantra Gold Advantage

  • Aetna Medicare Premier Plan

  • Aetna Medicare Connect Plus

  • Blue Medicare HMO & PPO

  • Cigna Medicare

  • Coventry Health Care

  • Health Team Advantage Plan I & II

  • Humana Choice

  • Humana Medicare

  • Humana Gold Plus

  • United Health Care

Insurance Participation is subject to change. If your insurance company is not listed above, please contact Patient Accounts at 336-625-6072 to verify if the coverage is accepted.


Please bring your insurance card to every visit so we can verify we have the correct information to properly file your visit to the insurance company. Let the receptionist know if your insurance, address, telephone number, emergency contact or employer has changed.


Questions Concerning Your Bill or Insurance

Should you have questions concerning your bill or insurance, please contact our Billing and Insurance Department at 336-625-6072. A courteous Patient Accounts Representative will handle your call.


General Questions, Policies and Additional Information


If you have any questions regarding your health care or our practice, please call us at 336-625-1007.

Patient Information