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BURSON Ear, Nose, and Throat

BURSON Ear, Nose, and Throat

Newnan's most trusted ENT practice

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Home/Patient Forms

Patient Forms

illustration of downloads
Select downloadable patient forms

New Patient Forms

Allergen Immunotherapy Patient Consent Form

Medical Records & FMLA Request Fee

Authorization for medical treatment of minors

Authorization for use and disclosure of protected health information (coming soon)

Chronic Cough Form

Diagnostic Testing Information Sheet

General pre-operative (Pre-Op) Instructions

Medical Records Release Form

Medications to Avoid for Allergy Testing

Pre-Op and Post-Op Guide to Septoplasty & Turbinate Surgery

Pre-Op and Post-Op guide for Endoscopic Sinus Surgery

Pre-op-and-post-op-guide-for-ear-tube-placement-with-adenoidectomy

Pre-Op and Post-Op Teaching for Ear Tube Placement

Pre-Op and Post-Op Guide for Eardrum Repair – Tympanoplasty, Myringoplasty, or Paper Patch

Pre-Op and Post-Op Guide to Sleep Apnea Surgery

Pre-Op and Post-Op Guide for Tonsillectomy & Adenoidectomy Surgery

Self-treatment exercises for Benign Positional Vertigo

Self-treatment exercises for Benign Positional Vertigo – Additional exercises

Sinusitis questionnaire

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Find Us

2080 Newnan Crossing Boulevard
Newnan, Georgia

Call 770-955-0272
 

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