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Our Forms

All of our forms are in .pdf format, an Adobe Acrobat Reader file. If you do not have this software, it can be downloaded for free by using the provided link below.
 

PATIENT REGISTRATION/ AGREEMENT

Consent for Purposes of Treatment, Payment and Healthcare Operations

Pre-Operative SURGICAL INSTRUCTIONS
(General Anesthesia)

MEDICATIONS TO AVOID PRIOR TO SURGERY

DIZZINESS QUESTIONNAIRE

Instructions for Draining Ears after Tube Surgery

BUFFERED HYPERTONIC SALINE NASAL IRRIGATION SOLUTION

Surgical Instructions – Tympanoplasty

Surgical Instructions – UPPP with or w/o Tonsillectomy

Post-Operative Instructions - General

Post Operative Surgical Instructions ADENOIDECTOMY

Post Operative Surgical Instructions ENDOSCOPIC SINUS SURGERY

Post Operative Surgical Instructions RHINOPLASTY

Post Operative Surgical Instructions TONSILLECTOMY and ADENOIDECTOMY



   30 Canton Street, #2
   Manchester, NH 03103-3540
   Tel. (603) 622-3623
   FAX (603) 625-5483
 
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