New Patient Form

For your convenience, we have provided the following form for you to download and complete before your visit.

For the convenience of our patients, the Voice and Swallowing Center has a patient medical history form available for download. Patients can complete the form ahead of time and bring it with them to their appointments.

Make an Appointment

Request an appointment with an ENT Institute specialist at UH Cleveland Medical Center

or use our Online Request Form

Need to Refer a Patient?

Click here for Patient Referrals

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Maps and Directions

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