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East Texas Sinus Patient Forms and Resources

Patient Forms

In an effort to decrease wait times, we now ask our patients to complete their forms (as able) in advance of their arrival. *Please note that NEW patients should bring a form of identification and insurance cards.

Select the paperwork that most closely matches your medical complaint.

GENERAL PAPERWORK AND INSTRUCTIONS:

Patient Information Tinnitus Questionnaire Hearing Loss Questionnaire Allergy Testing Form Sino-Nasal Outcome Test

INNER EAR/DIZZINESS FORMS AND RESOURCES:

Post-Epley Maneuver Instructions Pre-ENG-VNG Instructions Eustachian Tube Dysfunction Questionnaire (ETDQ-7)Eustachian Tube Dilation Consent Form Brandt-Daroff Exercises Cawthorne’s Head Exercises Gaze Stabilization Exercises Postural Control Exercises for Balance Vestibular Exercises

SINUS FORMS AND RESOURCES:

Clarifix Consent Form
Pre-Operative Instructions for Clarifix Post-Operative Instructions for Clarifix Pre-Operative Instructions for Balloon Sinuplasty Post-Operative Instructions for Balloon Sinuplasty Pre-Operative Instructions for Turbinate Reduction/Polypectomy
Post-Operative Instructions for Turbinate Reduction/Polypectomy Pre-Operative Instructions for Septoplasty Post-Operative Instructions for Septoplasty Sinus Surgery Consent Risks and Benefits

Patient Resources

Learn more about common ENT conditions, ENT associations, and the state-of-the-art equipment we use in our office at the following websites:

Stryker (sinus issues)

Innovative Healthcare Systems (the makers of our VNG/balance equipment)

American Academy of Otolaryngology/Head and Neck Surgery

Vestibular Disorders Association (VEDA)

Xoran (CT scanner)

Fiagon (image-guided technology used in our office)