Step 1 of 8

Let's start with your info

Just your name and mobile number — the rest takes under a minute.

First name

Last name

Mobile phone

We'll text your appointment confirmation here.

Please complete the highlighted fields.

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Step 2 of 8

Have you seen us before?

This helps us pull up your chart — or set up a new one.

Step 3 of 8

What brings you in?

Pick the area that fits best — you can always talk it through with your ENT provider.

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Step 4 of 8

Which office works best?

Coastal ENT sees patients at three Gulf Coast offices.

Step 5 of 8

Which provider do you usually see?

Providers who see patients at this office.

Step 5 of 8

What time of day works best?

Our scheduling team will look for an opening in that window when they call.

Step 5 of 8

A few more details

This helps us set up your patient chart and check your coverage.

We'll send your confirmation here.

Date of birth

Required to set up your patient chart.

Gender

Insurance

Pick from the list, or type your plan if it isn't shown. Paying out of pocket? Choose Self-pay.

Please complete the highlighted fields.

Step 6 of 8

Insurance card

Photos of your card and your member ID speed up check-in. You can skip this and bring your card to your visit.

Member / policy ID (optional)

Insurance card photos (optional)

Don't have your card with you? Skip this step — your appointment still books. Self-pay patients can skip too.

Step 6 of 8

Pick a day and time

Select a highlighted day

All times are shown in Central Time (Mississippi Gulf Coast). Your time is reserved the moment you book.

Step 7 of 8

Review your appointment

Double-check everything looks right, then book your visit.

Patient

Visit type

Date

Time

Location

Provider

Preferred time

Name

Contact

Date of birth

Gender

Insurance

Member ID

Your appointment is confirmed instantly when you book — we'll send the details by text and email.

You're booked!

Your appointment is confirmed. We've sent the details to you by text and email — we look forward to seeing you.

Visit type

Appointment

Location

Or call us at (228) 388-4585.

Cancel appointment

Tell us why you're cancelling — it helps us keep the calendar accurate.

Visit type

Appointment

Why are you cancelling?

Appointment canceled

Your visit has been canceled. You can book a new time whenever you're ready.

Questions? Call us at (228) 388-4585.