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Audiology: (404) 591-1884

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      CONDITIONS AND DISEASES 
      Ear Tubes (Myringotomy)
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      Foreign Bodies in the Ear
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      Middle Ear Infections
      Mastoiditis
      Swimmer’s Ear (Otitis Externa)
      Ear Wax Removal

    • AUDIOLOGY

      PEDIATRIC HEARING CENTER
      About the Hearing Center
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      Types of Hearing Tests
      Congenital CMV Hearing Loss
      Request a Hearing Test
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      Swimmer / Musician Ear Plugs
      FAQ – Audiology
      Glossary of Audiology Terms

    • NOSE

      CONDITIONS AND DISEASES
      Pediatric Sinusitis
      Allergic Rhinitis in Children
      Endoscopic Sinus Surgery
      Foreign Bodies in the Nose
      Nosebleeds in Children

    • THROAT

      CONDITIONS AND DISEASES
      Deviated Septum
      Foreign Bodies in the Throat
      Obstructive Sleep Apnea
      Pharyngitis and Tonsillitis
      Tonsils and Adenoids
      Congenital Laryngeal Stridor
      Laryngomalacia
      Tongue-tie / Lip-tie

    • HEAD & NECK

      CONDITIONS AND DISEASES
      Swollen Lymph Nodes
      Non-Hodgkin Lymphomas
      Hodgkin Lymphomas
      Rhabdomyosarcomas
      Thyroid Malignancies
      Nasopharyngeal Carcinomas
      Salivary Gland Malignancies
      Salivary Duct Stones
      Facial Masses and Lesions

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  • Mon-Friday 8 pm to 5 pm

  • Clinic Appointments: (404) 255-2033

  • Audiology: (404) 591-1884

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PENTA: Pediatric Ear, Nose & Throat of Atlanta | Atlanta Pediatric ENT Logo
  • Home
  • Services
    • EAR

      CONDITIONS AND DISEASES 
      Ear Tubes (Myringotomy)
      Ear Infections in Children
      Foreign Bodies in the Ear
      Hearing Loss in Children
      Cochlear Implants for Children
      Middle Ear Infections
      Mastoiditis
      Swimmer’s Ear (Otitis Externa)
      Ear Wax Removal

    • AUDIOLOGY

      PEDIATRIC HEARING CENTER
      About the Hearing Center
      Hearing Loss in Children
      Types of Hearing Tests
      Congenital CMV Hearing Loss
      Request a Hearing Test
      Hearing Aids for Children
      Cochlear Implants for Children
      Swimmer / Musician Ear Plugs
      FAQ – Audiology
      Glossary of Audiology Terms

    • NOSE

      CONDITIONS AND DISEASES
      Pediatric Sinusitis
      Allergic Rhinitis in Children
      Endoscopic Sinus Surgery
      Foreign Bodies in the Nose
      Nosebleeds in Children

    • THROAT

      CONDITIONS AND DISEASES
      Deviated Septum
      Foreign Bodies in the Throat
      Obstructive Sleep Apnea
      Pharyngitis and Tonsillitis
      Tonsils and Adenoids
      Congenital Laryngeal Stridor
      Laryngomalacia
      Tongue-tie / Lip-tie

    • HEAD & NECK

      CONDITIONS AND DISEASES
      Swollen Lymph Nodes
      Non-Hodgkin Lymphomas
      Hodgkin Lymphomas
      Rhabdomyosarcomas
      Thyroid Malignancies
      Nasopharyngeal Carcinomas
      Salivary Gland Malignancies
      Salivary Duct Stones
      Facial Masses and Lesions

  • For Patients
    • Start Your Care

      Find a Provider
      Find a Location
      Request an Allergy Test
      Request a Hearing Test
      Request an Appointment

    • Financial Information

      Billing and Insurance
      Financial Assistance
      Online Bill Pay
      Medical Records

    • Planning Your Visit

      Patient Portal
      Directions & Locations
      Before Your Appointment
      Before Your Hearing Test
      Before Your Surgery
      Patient Education (Teaching Sheets)
      Covid-19 Safety Guidelines

    • Planning for Surgery

      Schedule Surgery
      Surgery Locations
      Prepare for Surgery
      Patient Education (Teaching Sheets)

    • After Your Visit

      Post-Operative Guides
      Patient Education (Teaching Sheets)
      Online Bill Pay
      Medical Records

  • Our Providers
    • Physicians & Surgeons
    • Advanced Practice Providers
    • Audiologists
  • Our Locations
    • Atlanta – Scottish Rite
    • Alpharetta Office
    • Duluth Office
    • Tower Road Marietta
  • Appointments
  • For Providers
    • Caring For Your Patients

      Refer a Patient
      Medical Records

    • Connect With Us

      Physician Relations
      Practice Education
      Request a Visit

    • Resources

      Patient Education (Teaching Sheets)
      Our Brochures

  • About Us
  • Careers
  • Contact Us
Allergy Questionnaireadmin2024-11-26T00:25:44-05:00

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  • Patient Information

  • MM slash DD slash YYYY

  • Allergy Information - 1

    Is your child experiencing any of the following symptoms?

  • Allergy Information - 2

    Is your child experiencing any of the following symptoms?

  • Medication

    Please answer the following questions:
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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