Patient Registration Forms (PDF)
In order to expedite the new patient registration process, we ask that you print out, complete and bring the following forms with you to your first appointment:
Rhinosinusitis Disability Index
Chronic sinusitis has been shown to have significant impact on the quality of life. Chicago Nasal & Sinus Center uses a standardized, statistically validated, disease-specific tool to measure this impact. You will be asked to complete this questionnaire at your first visit to assist in the diagnosis and treatment of your nasal and sinus complaints. You may wish to print out and complete this questionnaire prior to your visit.
Patient Education Resources
- Patient Testimonial Videos (at right):
Video 1 - This video presents the rationale for balloon dilation of the sinuses and introduces the Relieva Stratus® catheter in the treatment of chronic sinusitis. Video 2 - This video presents the causes, symptoms and treatment of chronic sinusitis from the perspective of two of our patients.
- American Rhinological Society (ARS) - Information for Patients
- American Academy of Otolaryngology - Head & Neck Surgery (AAO-HNS) - Information for Patients
Preparing for Surgery
- Do not eat or drink anything including water after midnight of the day preceding surgery. Undigested food in the stomach can cause complications, and your surgery is likely to be postponed if you forget
- Bathe or shower the morning of surgery to minimize the chance of infection. Teeth may be brushed, try not to swallow any water
- Refrain from smoking for 3-7 days prior to surgery
- No aspirin or ibuprofen, Vitamin E or herbal supplements for 2 weeks prior to surgery.
- If you suspect you are pregnant please notify our office as soon as possible as general anesthesia and other medications may be harmful to the developing fetus.
- If you experience any health changes between your most recent visit to our office and the day of surgery, please notify our office as soon as possible. Please report even minor symptoms, such as an elevated temperature, cough or cold
- Leave your jewelry and other valuables at home
- Wear casual loose clothing; you will wear a patient gown provided by the hospital or surgery center
- Arrange for an adult to either be with you or to drive you home following surgery. You should also arrange to have someone stay with you the first night following your surgery
- Limit the number of people who accompany you to the hospital or surgery center. To maximize the comfort of all visitors, we suggest that adult patients be accompanied by only one person
- One to two weeks prior to surgery, you will be asked to undergo a pre-op evaluation and have routine blood tests drawn
- The day before surgery, our nurse will contact you and give you specific pre-operative instructions and tell you what time to arrive at the hospital or surgery center.
- You may not drive yourself home after surgery. A family member or friend must drive you home or accompany you in a taxi or public transportation.
- It is advisable that you have an adult with you for at least 12 hours after you arrive home.
- A liquid or soft diet is recommended for the first 24 hours after surgery.
- Follow any specific home care instructions you receive after your surgery.
- You will likely stay at the hospital or surgery center for approximately 2 hours after the surgery is completed.
- The recovery room staff will discharge you when they are assured you are in stable condition. HOWEVER, you could still feel sleepy, slightly dizzy, or nauseated. These are possible and normal side effects of anesthesia and can last for 12-24 hours.
Wait at least 24 hours after you arrive home to:
- Operate any motorized equipment
- Sign any important documents
- Drink any alcoholic beverages
- Take any medicine not prescribed or acknowledged by your surgeon
If any problems occur after you arrive home you should contact our office or answering service at (312) 372-9355.
Below are more specific instructions for surgery post-op care:
- Post-Operative Instructions for Tonsillectomy & Adenoidectomy
- Post-Operative Instructions for Ear Surgery (PE Tube placement)
- Post-Operative Instructions for Septoplasty and Sinus Surgery (ESS)
- Post-Operative Instructions for Closed Reduction Nasal Fracture
- Post-Operative Instructions for Uvulopalatoplasty and Uvulectomy
- Post-Operative Instructions for Thyroidectomy
- Post-Operative Instructions for Salivary Gland Surgery
- Post-Operative Instructions for Laryngoscopy
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact: Chicago Nasal & Sinus Center at (312) 372-9355.
This notice describes the privacy practices at our office (effective April 2003). Download the notice here.