For Patients

For PatientsDr. Maw, Dr. Inserra and physician assistant, Behrouz Farsi specialize in Otology-Neurotology. This is the subspecialty that focuses on the functions of the ear and its complicated related structures. A first appointment in our office involves 2 actual appointments, the first for a complete diagnostic hearing test and the second with the medical physician. This also applies to patients with dizziness and balance problems who may not have any symptoms of hearing loss. If you have had previous hearing tests, bring them with you, but please understand that repeat testing is usually necessary to serve you with the best medical care and advice. We can’t verify the accuracy of outside audiograms. If you have a history of wax issues, or have any drainage from your ear, please inform us of these symptoms and your appointments will be structured so that your ears will be cleaned prior to your hearing test.

Please bring all your previous medical records pertaining to your ear problem with you to your appointment. Previous doctor notes, OR reports and audiograms are helpful to us. If you are being seeing regarding the results of an MRI or CT scan, or if an MRI or CT scan was ordered for your condition, please bring the studies (on CD) and reports with you or notify us and allow us to request these from your referring audiologist, doctor or surgeon.

If you are being referred to this office for a diagnostic test of your hearing or balance, ordered by another doctor, and are not to see a physician at EARS Inc., please ensure this is clarified with the office staff when you schedule your appointment.

If you are already considering obtaining a hearing aid at the time of making your appointment, please let us know and we will gladly coordinate your hearing test, physician visit and hearing aid consultation all in the same day for your convenience. There is no charge or obligation for a hearing aid evaluation.

If you are coming to our office for a hearing aid consultation, it is important to consider bringing a loved one along for this educational appointment. Many patients wish to have the opinion of a family member regarding their hearing aid selection and the voice of your loved one is used by our staff in fitting and programming your device.


About Your Visit

Please arrive 30 minutes prior to your scheduled office visit to complete the registration and health history. Save time by filling out these registration online or download and complete prior to your visit and send them to us, and then arrive 10 minutes prior to your office scheduled office visit. You can fill them out online and print them or print them out and hand write the information.

New Patient Forms

Please choose to fill out our new patient form online or at the pdf download link below.

ONLINE PATIENT PORTAL

SECURE ONLINE NEW PATIENT FORM

Downloadable Office Forms

New Patient Demographic and Health History Form (download pdf)

Summary Notice of Privacy Practices (opens in PDF)

When complete, you may:

  • Bring the forms to your appointment
  • Mail the forms to our office
  • Fax the forms to our office (408) 540-5419

Downloadable Patient Instruction Documents

Patient information VEMP (opens in PDF)

Patient information ABR (opens in PDF)

Patient information ECOG (opens in PDF)

Patient information ENOG (opens in PDF)

Patient information VNG (opens in PDF)


Associate Hospitals

Dr. Maw is a surgeon with privileges at the following hospitals:

  • Silicon Valley Surgery Center
  • O'Connor Hospital, San Jose, CA
  • Good Samaritan Hospital, San Jose, CA
  • El Camino Hospital, Mountain View, CA
  • Valley Medical Center
  • Stanford Medical Center (teaching privileges)
Dr. Inserra is a surgeon with privileges at the following hospitals:
  • Silicon Valley Surgery Center
  • O'Connor Hospital, San Jose, CA
  • Good Samaritan Hospital, San Jose, CA

 


Accepted Insurance

This is general information only. Always contact your insurance company to verify coverage, benefits and if Dr. Maw, Dr. Inserra and physician assistant, Behrouz Farsi are contracted providers.

Medicare Assignment is accepted by EARS Inc.

Effective 8/13/2018 EARS, INC is now a contracted provider with Blue Shield PPO through Covered California.

PPO Contracted Insurances

  • Aetna
  • Aetna Stanford Healthcare Alliance
  • Anthem Blue Cross of CA
  • Blue Shield of CA includes covered California PPO
  • Cigna
  • Coventry
  • Healthnet
  • Healthsmart
  • Tricare Healthcare
  • Multiplan
  • NX Health
  • UHC Core
  • Alta Bates/Brown & Towland
  • Brand New Day
  • Liberty Healthshare
  • Triwest Healthcare Alliance

Prior Authorization is needed for the following HMO insurances

  • Santa Clara Country IPA
  • Physicians Medical Group of San Jose
  • Physicians Medical Group of Santa Cruz
  • Palo Alto Medical Foundation
  • Santa Cruz Medical Foundation