Bastianvoice.com

NEW PATIENT QUESTIONNAIRE: COUGH or LARYNGOSPASM

WEBWhich of the following, if any, happens to you when you have severe . coughing or a laryngospasm?Please check all that apply. (These are common experiences for many …

Actived: 4 days ago

URL: https://www.bastianvoice.com/wp-content/uploads/SNC-questionnaire-v2.5.pdf

Dear New Patient:

WEBBastian Voice Institute, 3010 Highland Pkwy, Suite 550, Downers Grove, IL 60515 Phone: 630-724-1100 Page 2 Six steps to know where you stand with your insurer (if you are a …

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Brent E. Richardson, M.D.

WEBBrent E. Richardson, M.D. Dr. Richardson is a Board Certified Otolaryngologist (Ear, Nose, and Throat physician) with a specialty in Laryngology. After finishing his training in …

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NEW PATIENT QUESTIONNAIRE

WEBNEW PATIENT QUESTIONNAIRE PROBLEM OVERVIEW Name Primary care physician (name, address) Date Date of birth. What is the primary problem you need addressed?

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Rebecca Chow Hoesli

WEBSmith J, Birkeland A, Rosko A et al. Mutational profiles of persistent/recurrent laryngeal squamous cell carcinoma. Head Neck. 2018. doi:10.1002/hed.25444 Hoesli RC, …

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NEW PATIENT QUESTIONNAIRE: INABILITY TO BELCH

WEBPROBLEM OVERVIEW When and how did you become aware of your inability to belch? Page 1 of 5; continue please ! 3010 Highland Parkway, Suite 250 Downers Grove, IL …

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Chicago Master Singers and Dr. Bastian

WEBIn June 2017, Dr. Bastian spoke at a Chicago Master Singers event in Palatine, IL on “How To Protect Your Vocal Health.”. Drawing from his experience both in music and in the …

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NEW PATIENT QUESTIONNAIRE: INABILITY TO BELCH

WEBPage 4 of 5 SOCIAL HISTORY Check all that apply. Reading glasses Change of vision Loss of hearing Ear pain Toothache Gum trouble Nosebleeds Frequent headaches

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NEW PATIENT QUESTIONNAIRE

WEBFAMILY HEALTH HISTORY Please complete the following family history information for your records by indicating each blood relative (Mother, Father, Sister, Brother, Daughter, …

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Spasmodic Dysphonia Featured in E-news Service

WEBHealth enews, a service of Advocate Health Care, recently published an article on spasmodic dysphonia (SD), a neurological voice disorder. Bastian Voice

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Melissa L. Wingo, MS, PA-C's Resume

WEBP a g e 2 | 2 • Coordinated with the team to track patients’ progress; also, collaborated with other physicians and internal staff to provide the best care possible. Clinical Clerkships …

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AUTHORIZATION FOR RELEASE OF CONFIDENTIAL HEALTH …

WEBAUTHORIZATION FOR RELEASE OF CONFIDENTIAL HEALTH INFORMATION I, _____, hereby authorize (Patient Name)

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Professional Fees

WEBVoice gel implant material. $635.00. One kind of material commonly used for vocal fold injections (see code 31570 above), in cases of vocal fold paralysis or paresis. 1 CPT is a …

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Post COVID-19 Coughing

WEBWhile such a cough may help lungs return to health, eventually, it can start to annoy or even severely affect quality of life. The diagnosis can be sensory neuropathic cough and …

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