Patient Care

Patient Care Forms

Pre-Operative Instructions
Children's Hospital (PDF: 33k)
The Ohio State University Medical Center (PDF: 33k)
The Ohio Surgery Center (PDF: 33k)
University Hospitals East (PDF: 33k)


Post-Operative Instructions
Chronic Ear Surgery (Tympanoplasty / Mastoidectomy) (PDF: 33k)
Cochlear Implant (PDF: 33k)
Ear Tubes (PDF: 33k)
Endolymphatic Sac Decompression / Shunt (PDF: 33k)
Gentamicin Perfusion / Otowick (PDF: 33k)
Stapedectomy / Ossicular Reconstruction / Middle Ear Exploration (PDF: 33k)
Tonsillectomy / Adenoidectomy (PDF: 33k)


Appointment Forms
Initial Visit - Adult (PDF: 33k)
Initial Visit - Pediatrics (PDF: 33k)
Established Patient Updates (PDF: 33k)
Pre-Visit Checklist Form (PDF: 33k)


Other
Financial Assistance Programs (PDF: 36k)
Records Release (PDF: 33k)


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