CLINICAL DOCUMENTS

ALLERGY DOCUMENTS

Allergy Medication Guidelines Prior to Testing in Our Office

Medications You CAN Take:

Medications You CANNOT Take Prior to Allergy Testing

Reflux Information Handout

SPECIAL TESTING FOR HEARING LOSS, TINNITUS AND DIZZINESS:

Videonystagmography (VNG) Testing for Dizziness

Auditory Brainstem Response Testing for Dizziness, Hearing Loss and Tinnitus

ADMINISTRATIVE DOCUMENTS

HIPAA Privacy Form

Mann ENT Patient Referral Sheet

ADULT PATIENT INFORMATION SHEET

PEDIATRIC PATIENT INFORMATION SHEET

AUTHORIZATION TO RELEASE MEDICAL RECORDS FROM ANOTHER PROVIDER/MEDICAL OFFICE

AUTHORIZATION TO RELEASE MEDICAL RECORDS FROM ANOTHER PROVIDER/MEDICAL OFFICE (Spanish)

AUTHORIZATION TO RECEIVE YOUR MEDICAL RECORDS FROM MANN ENT

AUTHORIZATION TO RECEIVE YOUR MEDICAL RECORDS FROM MANN ENT (Spanish)