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Penn Medicine Becker ENT

Call one of our locations now!

  • Cape May, NJ: (609) 899-7200
  • Freehold, NJ: (732) 375-9550
  • Hillsborough, NJ: (908) 271-2102
  • Lawrenceville, NJ: (609) 303-5163
  • Monroe, NJ: (609) 831-0779
  • Mt. Laurel, NJ: (609) 949-5940
  • Mullica Hill, NJ: (856) 478-3111
  • Philadelphia, PA: (215) 671-6330
  • Philadelphia, PA: (215) 929-8301
  • Plainsboro, NJ: (609) 831-0807
  • Princeton, NJ: (609) 430-9200
  • Princeton, NJ: (609) 759-8500
  • Robbinsville, NJ: (609) 436-5740
  • Sewell, NJ: (856) 589-6673
  • Voorhees, NJ: (856) 565-2900
  • Voorhees, NJ: (856) 772-1617
  • Yardley, PA: (267) 399-4004
Penn Medicine Becker ENT
Penn Medicine Becker ENT

  • About Us
    • Our Providers
      • Physicians
      • Nurse Practitioners
      • Audiologists
      • Speech-Language Pathologists
    • Reviews
  • Services
    • Allergy
      • Allergy & Sinus Comprehensive Care Program
    • Head & Neck
      • GERD
    • Nose & Sinus
      • Septoplasty
      • Sinus Surgery
      • Turbinate Surgery
      • Balloon Sinuplasty
      • Nasal Valve Surgery
      • New technologies
    • Pediatric ENT
      • Pediatric Snoring & Sleep
      • Ear Infections
      • Tonsil Infections
      • Allergy
      • Airway Problems
      • Pediatric Asthma
      • Symptoms
    • Snoring & Sleep
      • Snoring
      • Sleep Apnea
    • Ears and Hearing
    • Voice & Swallowing
      • Voice Disorders
      • Professional Voice
      • Swallowing Disorders
  • Locations
    • Cape May Court House, NJ
    • Freehold, NJ
    • Hillsborough, NJ
    • Lawrenceville, NJ
    • Monroe, NJ
    • Mt. Laurel, NJ
    • Mullica Hill, NJ
    • Philadelphia, PA – South Street
    • Philadelphia, PA – Walnut Street
    • Plainsboro, NJ
    • Princeton, NJ – Ewing Street
    • Princeton, NJ – Bunn Drive
    • Robbinsville, NJ
    • Sewell, NJ
    • Voorhees, NJ – Evesham Rd
    • Voorhees, NJ -Sheppard Rd
    • Yardley, PA
  • Patient Resources
    • Forms
    • Videos
    • Education
    • Book with Zocdoc (opens in a new tab)
  • Book an appointment
Penn Medicine Becker ENT
  • About Us
    • Our Providers
      • Physicians
      • Nurse Practitioners
      • Audiologists
      • Speech-Language Pathologists
    • Reviews
  • Services
    • Allergy
      • Allergy & Sinus Comprehensive Care Program
    • Head & Neck
      • GERD
    • Nose & Sinus
      • Septoplasty
      • Sinus Surgery
      • Turbinate Surgery
      • Balloon Sinuplasty
      • Nasal Valve Surgery
      • New technologies
    • Pediatric ENT
      • Pediatric Snoring & Sleep
      • Ear Infections
      • Tonsil Infections
      • Allergy
      • Airway Problems
      • Pediatric Asthma
      • Symptoms
    • Snoring & Sleep
      • Snoring
      • Sleep Apnea
    • Ears and Hearing
    • Voice & Swallowing
      • Voice Disorders
      • Professional Voice
      • Swallowing Disorders
  • Locations
    • Cape May Court House, NJ
    • Freehold, NJ
    • Hillsborough, NJ
    • Lawrenceville, NJ
    • Monroe, NJ
    • Mt. Laurel, NJ
    • Mullica Hill, NJ
    • Philadelphia, PA – South Street
    • Philadelphia, PA – Walnut Street
    • Plainsboro, NJ
    • Princeton, NJ – Ewing Street
    • Princeton, NJ – Bunn Drive
    • Robbinsville, NJ
    • Sewell, NJ
    • Voorhees, NJ – Evesham Rd
    • Voorhees, NJ -Sheppard Rd
    • Yardley, PA
  • Patient Resources
    • Forms
    • Videos
    • Education
    • Book with Zocdoc (opens in a new tab)
  • Book an appointment

Contract for Evaluation and Treatment

  • I understand that as part of my medical care, my Penn Medicine Becker ENT provider may prescribe or recommend various medications. I understand that any medication may have unintended side effects, interactions, and complications, sometimes in combination with other medications. Most of these are discussed on the medication inserts. I agree to read these inserts so that I understand the risks associated with any prescribed medication. I agree to ask my Penn Medicine Becker ENT provider at my appointment, or by phone after my appointment if I have any further questions about the prescribed or recommended medications. I agree that I will not take any medications until my questions have been answered in a manner that is satisfactory to me.

    My Penn Medicine Becker ENT provider may also prescribe for me to have further evaluation such as a blood work, cultures, CT scan, MRI, or a hearing and/or balance test. He may also recommend further evaluation by a gastroenterologist, laryngologist, neurologist, head and neck surgeon, or other medical specialist. I understand that further evaluations often recommended to make sure that I do not have a condition that could threaten my health. This includes conditions such as tumors, cancers, and malignancies.

    I understand that for any prescribed or recommended blood test, cultures, imaging test (CT, MRI), or evaluation (balance/hearing test) I should not consider this evaluation complete until I follow up with my Penn Medicine Becker ENT provider to review the results of these test/evaluations. In the case of referral to another specialist I also understand that it is my (the patient’s) responsibility to arrange and attend this appointment. If I have any difficulty doing so I will contact my Penn Medicine Becker ENT provider and ask for assistance. Again, I understand that these evaluations and referrals are often recommended to make sure that I do not have a condition that could threaten my health. This includes conditions such as tumors, cancers, and malignancies.

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Penn Medicine Becker ENT & Sinus Surgery

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