Patient Resources

At the Center for Neurosciences, our aim is to provide the highest quality neurological care – the same level of care we would want for ourselves or our loved ones.

Ear & Hearing Forms

Dr. Jacob New Patient Letter
Preoperative Instructions
Dr. Jacob Call Coverage
Cochlear Implant Vaccination Information

Consent Forms

Bone Anchor Hearing Aid Consent Form
Ear Surgery General Consent Form
Facial Nerve Decompression/Nerve Graft Consent Form
Gentamicin Injection Consent Form
Middle Fossa Surgery Consent Form
Myringtomy and Tubes Consent Form
Removal of Facial Cyst Consent Form
Resection of Skull Base Tumors Consent Form
Stapedectomy Consent Form
Steroid Injection Consent Form

Office Intake Forms

Ear and Hearing Adult New Patient Intake Form
Ear and Hearing Established Patient Intake Form
Ear and Hearing New Pediatric Patient Intake Form

OR Data Forms

BTI Data Sheet
Chronic Ear Data Sheet
Hearing Implant Data Sheet
Neurotology Data Sheet
Stapes and Middle Ear Data Sheet

Post-Operative Instructions

Chronic Ear Surgery Post-Operative Instructions
Cochlear Implantation Post-Operative Instructions
Ear Tube Post-Operative Instructions
Endolymphatic Sac Post-Operative Instructions
Stapedectomy Post-Operative Instructions
Tonsillectomy Adenoidectomy Post-Operative Instructions

Video Library

Our compassionate team of experts is dedicated to meeting all of our patients’ needs, including helping them to understand their neurological disorders and how they will be treated. To learn more about a neurological condition or procedure, please visit our video library.

Join Our Support Groups

The Center for Neurosciences is host to two support groups. On the second Tuesday of each month from 6:00 p.m. to 8:00 p.m. we host the Parkinson’s Support Group. On the second Wednesday of each month we host the Multiple Sclerosis Support Group which is held from 6:00 p.m. to 8:00 p.m. The groups meet to share concerns, fears and experiences as well as strategies to help manage their daily lives. There is no need to be a Center for Neurosciences patient to participate. These groups are for patients of all ages along with their friends, families and caregivers.