Micro Suction Wax Removal Consent Form
Please complete this form once you have booked your ear wax removal appointment.
Fields marked with an * are required.
The purpose of micro suction is to safely remove any wax or foreign bodies present within the ear canal. To ensure this process is safely carried out it is important that the clinician is made aware of anything which may have a bearing on the procedure.
Please answer these questions regarding your hearing health;