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About Our Sinus Center
Snoring & Sleep Apnea
Thyroid & Parathyroid
Facial Aesthetic Care
Head & Neck Cancer
Laryngology & Voice
Ear Disorders


Arizona Head, Neck & Facial Surgery * Phoenix Arizona Sinus * ENT Doctors & Sinus Surgeons * Sleep * Ear * Otolaryngololgy * Thyroid
1515 N. 9th Street, Suite B
Phoenix, Arizona 85006
Located 2 blocks west of
Banner Good Samaritan Hospital
Hours: Monday-Friday
8:30am-4:30pm
Contact Us : (602) 258-9859
Fax: (602) 256-0820

Forms & Instructions

Patient Forms

  • Health History (first visit only)
  • Notice of Privacy Practices (first visit only)
  • Patient Demographic Record (first visit and any visit after your address, telephone or insurance has changed)
  • Sinus Outcome Measure Questionnaire (nasal or sinus problems only, every visit)
  • Nasal Endoscopy Consent Form (nasal or sinus problems only, every visit)

Patient Education Materials


Patient Instructions

Operative and Post Operative Instructions

Endoscopic Sinus Surgery Post-operative Instructions
Endoscopic CSF Leak Repair Post-operative Instructions
Septoplasty Post-operative Instructions
Thyroidectomy Post-operative Instructions
Rhinoplasty Post-operative Instructions
Myringotomy Post-operative Instructions
Tonsillectomy & Adenoidectomy Post-operative Instructions
Adenoidectomy Post-operative Instructions
Skin Cancer Excision and or Reconstruction Post-operative Instructions
Laryngoscopy and Microlaryngeal Surgery Post-operative Instructions
Uvulopalatopharyngoplasty Post-operative Instructions
Nasal Cautery To Control Nosebleeding Post-operative Instructions
Neck Dissection & Neck Mass Excision Post-operative Instructions
Inferior Turbinate Radiofrequency Reduction
Inferior Turbinate Reduction Post-operative Instructions
Parotidectomy Post-op Instructions
Genioglossus
Advancement/Hyoid Suspension
Cerebrospinal Fluid Leak Repair
Tube Placement
Sinuplasty

Forms Require Free Adobe Reader Software - download here if needed

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