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Disease Surveys
To better serve our patients, we have developed several questionnaires that pertain to Ear, Nose & Throat disorders and diseases. Before your appointment, please complete the survey that pertains to your symptoms.
For your convenience, you can complete these forms several different ways. You can securely fill out the forms on-line and by clicking SUBMIT the information will be electronically sent to the office. Or, if you prefer, you can print the forms, fill them out and either bring them in with you for your appointment or fax the completed form to 340-774-1569.
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 PRINTABLE FORMS*
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ON-LINE FORMS
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 *You need to have Adobe Acrobat Reader to Print these forms. If you do not already have this program, you can get it FREE by clicking on the icon.
Thank you,
Virgin Islands Ear, Nose & Throat
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