Clinical Questionnaires & Checklists

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