INTERACTIVE FORMS

• New Patient Registration Forms
  • Patient Registration
  • Medical History

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

FORMS

• New Patient Registration Forms (Patient Registration & Medical History)
• Pediatric Questionnaire
• Sinus and Nasal Questionnaire
• Dizzy Questionnaire
• Audiology Questionnaire
• Hearing Handicap Inventory
• ENG/VNG Instructions
• Battery Plan Enrollment
• Dix-Hallpike/Canalith Repositioning Maneuver Instructions

PREOPERATIVE INSTRUCTIONS

• Beth Israel Deaconess Medical Center
  • Telephone Screen
  • Visit to Hospital
• Brigham and Women's Hospital
• Children's Hospital
  • Day Surgery
  • Overnight Surgery
• Lexington
• Massachusetts Eye and Ear Infirmary
• Preoperative Medication Restrictions

POSTOPERATIVE INSTRUCTIONS

• Tonsillectomy
• Adenoidectomy
• Ear Surgery
  • Myringotomy and Tube Insertion
  • Canaloplasty
  • Tympanoplasty/Ossiculoplasty
  • Stapedectomy
  • Mastoidectomy
• Nasal and Sinus Surgery
• Throat Surgery - Laryngoscopy, Endoscopy and Phonosurgery