SterlingHodgson | MD

Specializing in Otology, Neurotology, and Skull Base Surgery

Contact	Site Map

Information for prospective patients or patients with pending appointments.

Feel free to download and print the intake forms below for your upcoming appointment. We also encourage you to browse the Websites listed below as you gather information about your medical concerns.

Form Downloads: The Adobe Reader is required to read the following forms.
	Basic information such as name, address and insurance.		A brief survey of previous and existing medical history.		Outlines our financial agreement with patients.
Patient Registration (214k)		Health History (194k)		Financial Policy (273k)

	American Academy of Otolaryngology - Head and Neck Surgery http://www.entnet.org/ The American Academy of Otolaryngology-Head and Neck Surgery is your source for information on the ears, nose, throat and related structures of the head and neck.	Oregon Academy of Otolaryngology http://portland.oaohns.org/ The Oregon Academy of Otolaryngology is a nonprofit public benefit corporation whose goal is to promote and improve the practice of medicine and surgery in relation to the ears, nose, throat, head and neck in the Pacific Northwest.

	Providence Health System http://www.providence.org/ Providence Health System is a not-for-profit organization, which includes hospitals, health plans, clinics, physicians, long term care facilities, low-income housing, assisted living, home care and hospice, advanced medical research and education, and community outreach programs.	Legacy Health System http://www.legacyhealth.org/ Legacy Health System is a nonprofit healthcare organization offering inpatient, outpatient, tertiary, home care and hospice services at multiple sites.

	North American Skull Base Society http://www.nasbs.org/ The North American Skull Base Society (NASBS), is a professional medical society that facilitates communication worldwide between individuals pursuing clinical and research excellence in skull base surgery.	Epic Imaging http://www.epicimaging.com/ The EPIC Imaging family of centers comprises a comprehensive outpatient diagnostic imaging facility in Oregon. They offer major imaging technologies in both their East and West side centers and the revolutionary advance of molecular imaging in their Portland PET Center. EPIC utilizes a team of ENT radiologists that provide a specialized level of care.
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	Cochlear Americas http://www.cochlearamericas.com/ Cochlear is the world leader in cochlear implants, the breakthrough technology that has enabled tens of thousands of severe to profoundly hearing impaired people to hear.	Head & Neck Surgical Associates http://www.head-neck.com/ Head & Neck Surgical Associates (HNSA) is the Northwest’s most highly specialized medical and surgical practice dedicated to patients with head and neck, oral, maxillofacial, and facial cosmetic needs.

	American Academy of Audiology http://www.audiology.org/ The American Academy of Audiology promotes quality hearing and balance care by advancing the profession of audiology through leadership, advocacy, education, public awareness and support of research.	American Speech-Language-Hearing Association http://www.asha.org/ The mission of the American Speech-Language-Hearing Association is to promote the interest of and provide the highest quality services for professionals in audiology, speech-language pathology, and speech and hearing science, and to advocate for people with communication disabilities.

	The Starkey Hearing Foundation http://www.sotheworldmayhear.org Our office is proud to be associated with The Starkey Hearing Foundation, a charitable organization providing audiology services and hearing aids to individuals in need.
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