
Surgery – Consent Forms
The following surgical consent forms will provide you with valuable information about your surgery. If you are undergoing one of these surgical procedures please print the form and bring it to your pre-operative visit. Please consult your physician with any questions.
- Adenoidectomy
- Balloon Sinuplasty
- Branchial Cleft Remant
- Closed Reduction Nasal Fracture
- Cricopharyngeal Myotomy
- Ear Piercing
- Ear Tubes (Pressure Equalization Tubes/PE Tubes)
- Endoscopic Sinus Surgery
- Eustachian Tube Balloon Dilation
- Hypoglossal Nerve Stimulator for OSAS
- Inferior Turbinate Reduction
- Laryngnoscopy
- Lingual Frenulotomy (Tongue-TIE)
- Mastiodectomy
- Nasal Valve Surgery
- Neck Dissection
- Parathyroidectomy
- Parotidectomy
- Septoplasty
- Stapedotomy
- Submandibular Gland Excision
- Thyroglossal Duct CYST
- Thyroidectomy
- Tonsillectomy/Adenoidectomy
- Total Laryngectomy
- Tracheotomy
- Tympanoplasty
Office Locations

Rolling Meadows, IL 60008
(On New Wilke Road just north of Golf Road.)
5999 New Wilke Road Building 1 Rolling Meadows, IL 60008

Hoffman Estates, IL 60169
(Located on St. Alexius Medical Center campus
1555 Barrington Road Suite 530 Hoffman Estates, IL 60169