Consent for Procedure:
Below are links to consent forms for procedures. The consent form(s) applicable to your procedure must be signed on the day of surgery. The forms are listed alphabetically by procedure name as well as by form name.
Consent forms Alphabetized by Procedure Name:
• Form “C-A” • Abscess consent form
• Form “C-B” • Adenoidectomy consent form
• Form “C-AL” • Biopsy with Skin Incision consent form
• Form “C-E” • Branchial Cleft Cyst consent form
• Form “C-F” • Bronchoscopy consent form
• Form “C-G” • Cervical Lymphadenectomy (Neck Dissection) consent form
• Form “C-L” • Drug Induced Sleep Endoscopy (DISE) consent form
• Form “C-D” • Eyelid Surgery consent form
• Form “C-J” • Esophagoscopy consent form
• Form “C-K” • Excision of Malignancy consent form
• Form “C-AP” • Foreign Body Removal (via skin) consent form
• Form “C-AU” • Frenulectomy consent form
• Form “C-M” • General (incisional) consent form
• Form “C-AT” • Hematoma Evacuation consent form
• Form “C-AX” • Injection Laryngoplasty consent form
• Form “C-AM” • Inspire Implant consent form
• Form “C-P” • Laryngoscopy consent form
• Form “C-AV” • Meatoplasty consent form
• Form “C-R” • Nasal endoscopy, possible biopsy, cautery, packing
• Form “C-H” • Nasal Fracture Closed Reduction consent form
• Form “C-T” • Osia implant consent form
• Form “C-AQ” • Otoplasty consent form
• Form “C-W” • Parathyroidectomy consent form
• Form “C-X” • Parotidectomy consent form
• Form “C-O” • Photo consent form
• Form “C-C” • Sentinel Node Biopsy consent form
• Form “C-AA” • Septoplasty and Turbinate Reduction consent form
• Form “C-AC” • Sinus Endoscopy and Possible Excision of Nasal Lesion consent form
• Form “C-AD” • Skin or Subcutaneous Excision, including Graft or Local Flap consent form
• Form “C-AE” • Submandibular Gland Excision consent form
• Form “C-AF” • Thyroglossal Duct Cyst Excision consent form
• Form “C-AG” • Thyroidectomy consent form
• Form “C-N” • Thyroplasty, medialization implantation consent form
• Form “C-AW” • Foreign Body Removal (upper airway & digestive tract) consent form
• Form “C-AH” • Tonsillectomy/Adenoidectomy consent form
• Form “C-AR” • Transsphenoidal Approach to Pituitary consent form
• Form “C-AN” • Tympanoplasty/Myringoplasty consent form
• Form “C-AJ” • Tympanostomy tube placement consent form
• Form “C-AK” • Tympanostomy Tube Placement plus Tonsillectomy and/or Adenoidectomy consent form
• Form “C-AS” • Zygomaticomalar Complex Fracture Repair consent form
Consent forms Alphabetized by Form Name:
• Form “C-A” • Abscess consent form
• Form “C-B” • Adenoidectomy consent form
• Form “C-C” • Sentinel Node Biopsy consent form
• Form “C-D” • Eyelid Surgery consent form
• Form “C-E” • Branchial Cleft Cyst consent form
• Form “C-F” • Bronchoscopy consent form
• Form “C-G” • Cervical Lymphadenectomy (Neck Dissection) consent form
• Form “C-H” • Nasal Fracture Closed Reduction consent form
• Form “C-J” • Esophagoscopy consent form
• Form “C-K” • Excision of Malignancy consent form
• Form “C-L” • Drug Induced Sleep Endoscopy (DISE) consent form
• Form “C-M” • General (incisional) consent form
• Form “C-N” • Thyroplasty, medialization implantation consent form
• Form “C-O” • Photo consent form
• Form “C-P” • Laryngoscopy consent form
• Form “C-R” • Nasal endoscopy, possible biopsy, cautery, packing
• Form “C-T” • Osia implant consent form
• Form “C-W” • Parathyroidectomy consent form
• Form “C-X” • Parotidectomy consent form
• Form “C-AA” • Septoplasty and Turbinate Reduction consent form
• Form “C-AC” • Sinus Endoscopy and Possible Excision of Nasal Lesion consent form
• Form “C-AD” • Skin or Subcutaneous Excision, including Graft or Local Flap consent form
• Form “C-AE” • Submandibular Gland Excision consent form
• Form “C-AF” • Thyroglossal Duct Cyst Excision consent form
• Form “C-AG” • Thyroidectomy consent form
• Form “C-AH” • Tonsillectomy/Adenoidectomy consent form
• Form “C-AJ” • Tympanostomy tube placement consent form
• Form “C-AK” • Tympanostomy Tube Placement plus Tonsillectomy and/or Adenoidectomy consent form
• Form “C-AL” • Biopsy with Skin Incision consent form
• Form “C-AM” • Inspire Implant consent form
• Form “C-AN” • Tympanoplasty/Myringoplasty consent form
• Form “C-AP” • Foreign Body Removal (via skin) consent form
• Form “C-AQ” • Otoplasty consent form
• Form “C-AR” • Transsphenoidal Approach to Pituitary consent form
• Form “C-AS” • Zygomaticomalar Complex Fracture Repair consent form
• Form “C-AT” • Hematoma Evacuation consent form
• Form “C-AU” • Frenulectomy consent form
• Form “C-AV” • Meatoplasty consent form
• Form “C-AW” • Foreign Body Removal (upper airway and digestive tract) consent form