Patient Resources is a section provided by the Ear Institute of Chicago to help make your visit to our office a pleasurable experience. This section enhances the patient-physician relationship by giving you 24-hour access to patient specific instructions and communication tools.
If you need assistance, please do not hesitate to call our office (630-789-3110 during normal business hours: 8-4:30 pm, CST).
To download the PDF forms, you must have Adobe Acrobat Reader (on a PC) or Preview or Adobe Acrobat Reader (on a Mac) computer. If you do not have Adobe Acrobat Reader, you may download a FREE copy of Adobe Acrobat Reader here.
Please download and complete the following the Patient Health History form before your first office visit to the Ear Institute of Chicago.
(The form is editable. You may type into the appropriate form fields on your computer (Mac or PC):
For Tympanoplasty, Mastoidectomy, Stapedectomy, Cochlear Implant, Middle Ear Surgery, Labyrinthectomy, Endolymphatic Sac Shunt:
General Postoperative Ear Surgery Instructions
For Acoustic neuroma, Glomus jugulare tumor, Facial Nerve Decompression, Meningioma surgery:
Skull Base Surgery Postopertive Instructions