Clinical Questionnaires & Instructions

Review of this information and common questions & answers should never replace a complete examination and consultation by a physician.

Clinical Questionnaires & Checklists

• Adult Pre-Operative Surgery Checklist
• Allergy History Questionnaire
• Allergy Testing Instructions
• Allergy Injection Vial Order Form
• Allergy Sublingual Drops (SLIT) Order Form
• Allergy Sublingual Therapy  - 5 Weeks Supply
• Allergy Sublingual Therapy - 10 Weeks Supply
• Dizziness Questionnaire
• Pediatric Surgery Pre-Operative Checklist
• Reflux Symptom Index (RSI)
• Sleep Disorders Questionnaire
• Voice Related Quality of Life (V-RQOL) for Adults
• Voice Related Quality of Life (V-RQOL) for Children

Reference Links

The following sites offer useful information on all aspects of otolaryngology.

• American Academy of Otolaryngology - Head and Neck Surgery
• American Academy of Pediatrics
• The EAR Foundation
• Support for People with Oral and Head and Neck Cancer
• National Spasmodic Dysphonia Association