Surgery Packet for Nasal Endoscopy and/or Nasopharyngoscopy (including possible biopsy, control of nosebleed, removal of foreign body, and inspection of adenoids):

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This information may be of use, but should not be considered medical advice unless specifically directed by your doctor.

Financial Information

• Estimating your cost for a surgical procedure.

Consent Form

• Nasal endoscopy/Nasopharyngoscopy (including possible biopsy, control of nosebleed, removal of foreign body, and inspection of adenoids) consent form (form “C-R”)

Instructions - Before Surgery

• instructions before surgery, including medications to avoid. (Very important!)

• Labs, tests, pre-operative clearance

• Eating & drinking before surgery: children and infants less than 4 years old | patients 4 years and older

• Adults should complete their Advance Directive forms.

Maps and Directions

• to The Center for Outpatient Medicine (TCOM) | 2502 East Empire Street, Bloomington, IL 61704 (south east side of building) | (309) 662-6120 | street view photo | map | website

• to Carle BroMenn Hospital | parking structure address for your GPS: 606 W Virginia Ave, Normal, IL 61761 | (309) 454-1400 | street view photo | map | website

Instructions - After Surgery 

• Instructions after surgery within the nose • Form “PO-G”