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Skills and Procedures Form - Otolaryngology
Areas of Practice
General adult care
General pediatric care
Allergy evaluation
Procedures
Please list the approximate number performed within the past 24 months
General ENT surgery (tonsillectomy, adenoidectomy, PE tubes)
Audiology
Radical adult cancer
Advanced pediatric developmental
General facial reconstruction
Plastic Surgery
Lid lift
Face lift
Major myoctaneous flap
Endoscopic sinus surgery
Thyroidectomy
Extended parotidectomy
Flexible laryngoscopy
Laser certification
Argon
KTP
YAG
Other
Please list any limitations or comments on information provided above:
I affirm that all information provided on this page is true and accurate.
*
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Date
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