Ear Wax Consent Removal

Micro Suction Ear Wax Removal Consent Form

To safely remove any wax or foreign bodies present within the ear canal, it is important that the clinician is made fully aware of anything which may have a bearing on the procedure. Please answer the following questions regarding your hearing health by ticking and completing the relevant boxes:

  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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