The Ear Center of Greensboro, P.A. Ear Nose and Throat Physicians in Greensboro NC

1126 North Church Street  •  Suite 201  •  Greensboro NC 27401  •  map
336-273-9932 • Fax 336-273-9936
Mon-Fri 9:00 am - 5:00 pm • By appointment only
  • Online Forms
    • List of Forms
      • List of Forms
      • Registration Form [PDF]
      • History Form: Adults [PDF]
      • History Form: Child < 12 [PDF]
      • Medical Records Release [PDF]
      • Auditory Processing
      • Envoy Esteem Medical Hx
    • Registration Form [PDF]
    • History Form: Adults [PDF]
    • History Form: Child < 12 [PDF]
    • Medical Records Release [PDF]
    • Auditory Processing Form
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  • Office
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      • Office Policies
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    • Registration Form [PDF]
    • History Form: Adults [PDF]
    • History Form: Child < 12 [PDF]
    • Medical Records Release [PDF]
    • Surgery Instructions
      • Preoperative Instructions
        • Preoperative Instructions
        • Aspirin Management
        • Adenoidectomy
        • Ear Tubes
        • Envoy ESTEEM Implant
        • Medications
        • Tonsillectomy & Adenoidectomy
      • Postoperative Instructions
        • Postoperative Instructions
        • Adenoidectomy
        • Cochlear Implants
        • Eardrum Repair
        • Ear Tubes
          • Ear Tubes
          • Swimming
        • Envoy ESTEEM Implant
          • Initial Implant
          • Battery Replacements
        • Laryngoscopy
        • Mastoid Surgery
        • Middle Ear Medications
        • Nasal Surgery
        • Stapedectomy
        • Tonsillectomy & Adenoidectomy
    • Our Office
      • Office Info & Policies
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      • Registration Form [PDF}
      • History Form: Adults [PDF]
      • History Form: Child < 12 [PDF]
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    • Our Physician
      • Eric M. Kraus, M.D., M.S.
      • About Dr. Kraus
      • C,V. & Medical Publications
    • Sub-Specialties
    • Audiology Services
    • Sleeping Baby Hearing Test App
      • Sleeping Baby Hearing Test App
      • Test Instructions
        • For Parents
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        • Sleeping Baby Hearing Screen Video
      • Sleeping Baby Screen Video
      • Dr. William F. House
      • Our Baby Is Hearing Impaired
    • Family Resources for Hearing Loss
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    • Research
    • Teaching Activities
      • Teaching Activities
      • AAO-HNS Courses
        • AAO-HNS Courses
        • Lost Art of Medicine
      • Oral Presentations
      • University Affiliations
    • Kraus Microcut™ Forceps
      • Kraus Microcut™ Forceps
      • Hearing Results
    • Kraus K-Helix Prostheses
      • K-Helix Prostheses
      • Hearing Results
      • Video & Surgical Technique
    • BAHA Hearing Implant
    • MAXUM Hearing Implant
    • OR Microscope Photography
  • For Patients
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    • Online Forms
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      • Our Physician
      • Eric M. Kraus, M.D., M.S.
      • Dr. Kraus's C.V.
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    • Our Staff
    • What We Treat
    • Surgery Instructions
      • Preoperative Instructions
        • Preoperative Instructions
        • Aspirin Management
        • Adenoidectomy
        • Ear Tubes
        • Envoy ESTEEM Implants
        • Medications
        • Tonsillectomy & Adenoidectomy
      • Postoperative Instructions
        • Postoperative Instructions
        • Adenoidectomy
        • Cochlear Implants
        • Eardrum Repair
        • Ear Tubes
          • Ear Tubes
          • Swimming
        • Laryngoscopy
        • Mastoid Surgery
        • Maxum Hearing Implant
        • Middle Ear Medications
        • Nasal & Sinus Surgery
        • Stapedectomy
        • Tonsillectomy & Adenoidectomy
    • Emergencies
    • Medical Ed Topics
      • Acoustic Neuromas
      • Anesthetic Neurotoxicity
      • Benign Intracranial Hypertension
      • Connexin 26
      • Down Syndrome
        • Down Syndrome
        • Medical-Surgical Guidelines
        • DS References
      • Ear Tubes
      • Hearing Loss
      • Meniere's Disease
      • Migraine Disorders
        • Migraine Disorders
        • Migraine Vertigo
        • Headache I Diet
      • MRSA Infection
      • Noise Exposure
        • The Problem
        • Earphone Protection
      • Otosclerosis
        • Stapedectomy
      • Semi-Circular Canal Dehiscence
      • Stapedectomy
      • Surgery Instructions
        • Surgery Instructions
        • Preoperative Instructions
        • Postoperative Instructions
    • Family Resources for Hearing Loss
    • Sleeping Baby Hearing Test App
      • Sleeping Baby Hearing Test App
      • Test Instructions
        • For Parents
        • For Physicians
        • Sleeping Baby Screen Video
      • Sleeping Baby Screen Video
      • Dr. William F. House
      • Our Baby Is Hearing Impaired
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  • Audiology
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    • Electronystagmography
      • About the ENG Test
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    • Aud Brainstem Response
      • About the ABR
      • Adult ABR
      • Pediatric ABR
        • About the Pediatric ABR
        • Without Sedation
        • With Sedation
    • Auditory Processing
      • About Auditory Processing
      • AP History Form
      • iSense Dynamic FM Device
    • Aural Rehabilitation
    • Family Resources for Hearing Loss
    • Sleeping Baby Hearing Test App
      • Sleeping Baby Hearing Test App
      • Test Instructions
        • For Parents
        • For Physicians
        • Sleeping Baby Screen Video
      • Sleeping Baby Screen Video
      • Dr. William F. House
      • Our Baby Is Hearing Impaired
    • Speech Pathologists
    • Tinnitus Therapy
      • About Tinnitus
      • UNCG Tinnitus Clinic
      • Neuromonics & Brain Adaptation
  • Hearing Aids
    • Hearing Aids
    • Phonak Hearing Aids
      • Phonak Hearing Aids Overview
      • Audeo B Direct
      • Sky B - Pediatric
      • Virto B-Titanium
      • Phonak CROS B
      • Phonak AccessLine
      • Roger Pen Microphone
      • Roger Select Microphone
      • Audeo Marvel
      • Audeo B-R Rechargeable
      • Audeo B-R Charging Case
      • Audeo B-R Small, Portable Charger
    • Widex Hearing Aids
      • Widex Hearing Aids Overview
      • Mind440
      • Evoke
      • Inteo
      • Inteo & Flash m-Series
      • Mind330
      • Clear
    • Oticon Hearing Aids
      • Oticon Hearing Aids Overview
      • Sensei-Pediatric
      • Opn S
      • Opn Play-Pediatric
      • Opn
    • ReSound Hearing Aids
      • ReSound Hearing Aids Overview
      • LiNX 3D
      • ENZO 3D
      • LiNX Quattro
    • Hearing Aid Service
    • Battery Special
    • DEMO Days
    • Testimonials
    • MedEL ADHEAR
    • Hearing Implants
      • Hearing Implants
      • BAHA Hearing Implant
      • Ponto Hearing Implant
      • BONEBRIDGE Implant
      • MAXUM Hearing Implant
    • Kraus K-Helix Prostheses
    • Family Resources for Hearing Loss
    • Aural Rehabilitation
  • Hearing Implants
    • Hearing Implants
    • Hearing Aids
    • BAHA Hearing Implant
    • Ponto Hearing Implant
    • MedEL ADHEAR
    • MedEL BONEBRIDGE
    • Cochlear Implants
      • Cochlear Implants
      • Advanced Bionics CI
      • Cochlear Americas CI
      • MedEL CI
    • Kraus K-Helix Prostheses
      • Kraus K-Helix Prostheses
      • K-Helix Hearing Results
      • Videos & Surgical Technique
    • MAXUM Hearing Implant
      • MAXUM Hearing Implant
      • Medical History Form
  • Emergencies
  • Home
 

Participation Criteria for Envoy Esteem™ Post-Approval Study

Medical History Forms

Click here for the Envoy Esteem Trial Participant Medical History Questionnaire (PDF format)

Click here for the Envoy Esteem Trial Participant Medical History Questionnaire (Word format)

Screening & Baseline Informed Consent

Click here to view or download the consent form

Clinical Trial Informed Consent

Click here to view or download the consent form

 

 

 

 

 

 

 

 

 

 

 

For Physicians Home

New Patients

What We Treat

Our Physician

Sub-Specialties

Audiology Services

Family Resources:Hearing Loss

Recent Publications

Research

Teaching Activities

Kraus K-Helix Prostheses

Kraus Microcut™ Forceps

MAXUM Hearing Implant

OR Microscope Photography

Sleeping Baby Hearing Test App

Sleeping Baby Hrg Foundation

Esteem Battery Replacement

Testimonials

Links

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1126 North Church Street, Suite 201, Greensboro, NC 27401  •  336-273-9932 • Fax 336-273-9936  •  Directions  •  Privacy Policy
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