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Patient Forms


Prior to your arrival for your appointment in our office, you may want to print and complete the following forms:

Patient Information Form This would be important to complete for everyone coming to our office.(PDF: 231k)

Audiology Information Form (Adult) If you are an adult and are coming for an audiology appointment, then complete this.  (PDF: 53k)

HIPAA Notice Everyone should complete.  (PDF: 62k)

Consent Form Everyone should complete.  (PDF: 88k)

Cochlear Implant Guide This guide is helpful for patients who are interested in a cochlear implant, are soon to receive a cochlear implant, or currently have a cochlear implant. (PDF: 991k)

 

 

 

 

 

 

 

Contact any of our OSU ENT offices to set up an appointment with one of our dedicated staff. Turn to OSU ENT for your ear, nose and throat doctor in and around Columbus, Ohio.