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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 InformationTinnitus QuestionnaireHearing Loss QuestionnaireAllergy Testing FormSino-Nasal Outcome Test
INNER EAR/DIZZINESS FORMS AND RESOURCES:
Post-Epley Maneuver InstructionsPre-ENG-VNG InstructionsEustachian Tube Dysfunction Questionnaire (ETDQ-7)Eustachian Tube Dilation Consent FormBrandt-Daroff ExercisesCawthorne’s Head ExercisesGaze Stabilization ExercisesPostural Control Exercises for BalanceVestibular Exercises
SINUS FORMS AND RESOURCES:
Clarifix Consent Form
Pre-Operative Instructions for ClarifixPost-Operative Instructions for ClarifixPre-Operative Instructions for Balloon SinuplastyPost-Operative Instructions for Balloon SinuplastyPre-Operative Instructions for Turbinate Reduction/Polypectomy
Post-Operative Instructions for Turbinate Reduction/PolypectomyPre-Operative Instructions for SeptoplastyPost-Operative Instructions for SeptoplastySinus 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)