Dear Patient,

After much consideration, I have made the decision to return to my hometown of Pittsburgh, Pennsylvania. As part of this transition, I will be leaving my practice at Helios Sound Health Services, with my last day seeing patients scheduled for August 21, 2026.

It has been an honor and privilege to care for you and your families over the years. Building relationships with my patients has been one of the most rewarding parts of my career, and I am deeply grateful for the trust you have placed in me.

While change can be difficult, I want to assure you that your continued care remains a top priority. I have been working closely with our physicians, providers, and staff to ensure a smooth transition. Our team is reviewing upcoming appointments, procedures, and follow-up care needs so that patients continue to receive the high-quality care they deserve.

New patient appointments with me will be scheduled through August 1, 2026. If you have an upcoming appointment, procedure, or follow-up visit, our office will contact you directly if any changes are needed. Otherwise, please plan to attend your appointments as scheduled.

I have every confidence in the outstanding team at Helios Sound Health Services who are committed to providing exceptional ENT care and will continue to be available to support your healthcare needs moving forward.

Thank you for allowing me to be a part of your healthcare journey. Caring for you has been a privilege, and I will always be grateful for the relationships and memories we have shared. I wish you and your families the very best in health and happiness.

With sincere gratitude,

Fred Pugliano, M.D., FACS