Forms and Instruction
Dallas Ear Institute welcomes you to our patient section. Please take the time to review the New Patient Preparation and options to download, print and complete our New Patient forms.
Medical Records Release Forms
HIPAA Notice of Privacy Policy
Health Questionnaire
Procedure and Surgery Instructions Forms (Downloads Alphabetical Order)
- Adult Auditory Brainstem Response Instructions
- SEDATED ABR Instructions - 6 months to 4 years
- UNSEDATED ABR Instructions - newborn to 6 months
- Atresia Repair Risk & Complications
- Baha Consent Form
- Baha Post Operative Care
- Balance Canal Occlusion Surgery Risk and Complications
- Balance Training Exercises
- Brandt and Daroff Exercises
- Cochlear Implant Initial Steps
- Cochlear Implant Expectations Pediatric
- Cochlear Implant Expectations Adult
- Cochlear Implant Risk & Complications
- Cochlear Implant Surgery
- Cochlear Implant Post-Op Instructions Adult
- Cochlear Implant Post-Op Instructions Pediatric
- Cerumen Impaction Instructions
- Electrocochleography (ECOG) Instructions
- Endolymphatic Sac Surgery Post Operative Instructions
- Endolymphatic Sac Surgery Risk and Complications
- Facial Nerve Decompression or Repair
- Gentamicin Inner Ear Perfusion - Risk and Complications
- How To Use Ear Drops Properly
- Infratemporal Fossa Surgery Risk and Complications
- Labyrinthectomy and Endolymphatic Sac Surgery Instructions After Surgery
- Labyrinthectomy Risks and Complications
- Myringotomy and Tympanostomy Ear Tube Placement Instructions
- Myringotomy Risks & Complications of Surgery
- Patulous Eustachian Tube Risks and Complications
- Perfusion of the Inner Ear
- Perilymphatic Fistula Risk and Complications
- Sedated Discharge Instructions
- Stapedectomy Risks and Complications
- Stapedectomy Post Operative Instructions
- Tympanoplasty/Mastoidectomy Instructions After Surgery
- Tympanoplasty/Mastoidectomy Risk and Complications
- Week 1 Postoperative Tympanoplasty/Mastoidectomy Instructions
- Week 4 Postoperative Tympanoplasty/Mastoidectomy Instructions
- Vestibular Evoked Myogenic Potentials (VEMP)
- Vestibular Neurectomy Risk & Complications
- VNG Frequently Asked Questions