Forms & Surgical Instructions

Vernick & Gopal Ear, Nose & Throat Specialists Registration Forms

Vernick & Gopal Hearing Center Registration Forms

Medical Releases

In Office Procedures

Preoperative Instructions

Beth Israel Deaconess Medical Center:
Children's Hospital:

Day Surgery:

Post-operative Instructions for Your Child:

Postoperative Instructions

Ear Surgery


This service is for non-urgent matters only. Our office will contact you within 48 hours via phone call. If you are looking to schedule an appointment or consultation, PLEASE CALL OUR OFFICE AT (617) 383-6800.
  • * All indicated fields must be completed. | Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

Locate Our Office

1244 Boylston St
Suite 303
Chestnut Hill, MA 02467

Get Directions

Phone: (617) 383-6800
Fax: (617) 383-6801
Audiology: (617) 383-6830
Surgical Scheduling: (617) 383-6846