Surgery Consent Forms

We have included all the consent forms you need to complete prior to surgery at the Ear, Nose and Throat Surgery Center of Salt Lake City. Please call 801-758-0428 with any questions.

Control_of_Epistaxis_Consent.pdf– Download and complete this form prior to surgery for control of epistaxis.

Endoscopic_Sinus_Surgery_Consent.pdf– Download, read and complete this form prior to endoscopic sinus surgery.

Nasal_Fx_Consent.pdf– Download, read and complete this form prior to closed reduction of a nasal fracture surgery.

Otoplasty_Consent.pdf– Download, read and complete this form prior to Otoplasty surgery.

Parotidectomy_Consent.pdf– Download, read and complete this form prior to parotidectomy surgery.

PET_&_Adenoidectomy_Consent.pdf– Download, read and complete this form prior to pressure equalization tubes (PET) surgery and adenoidectomy.

PET_Consent.pdf– Download, read and complete this form prior to Pressure Equalization Tube (PET) surgery.

Rhinoplasty_Consent.pdf– Download, read and complete this form prior to Rhinoplasty surgery.

Septoplasty_Consent.pdf– Download, read and complete this form prior to septoplasty surgery.

Submandibular_Gland_Consent.pdf– Download, read and complete this form prior to submandibular gland surgery.

Tonsillectomy_&_Adenoidectomy_Consent.pdf – Download, read and complete this form prior to Tonsillectomy or Adenoidectomy surgery.

Your Health Starts Here

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Insights

Allergy Season

It’s allergy season in Northern Utah, here's what you need to know... Allergy season in Utah can be quite challenging, especially during the peak months of April, May, and September, when pollen counts are high​. If you're in Utah during these times, it's important to...

read more

Quitting Smoking, Tobacco and Nicotine

John R. Bennett, MD 801-328-2522 1255 East 3900 South #301, Millcreek, Utah 84124 756 East 12200 South, Draper, Utah 84020 22 South 900 East, Salt Lake City, Utah 84102 Updated 03/22/2018 Quitting Smoking, Tobacco and Nicotine Congratulations on considering quitting...

read more

NOSEBLEEDS

John R. Bennett, MD 801-328-2522 1255 East 3900 South #301, Millcreek, Utah 84124 756 East 12200 South, Draper, Utah 84020 22 South 900 East, Salt Lake City, Utah 84102 Updated 7/4/17 NOSEBLEEDS There are two categories of nosebleeds. “Anterior” bleeds originate in...

read more