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Clinic Appointments: (404) 255-2033

Audiology: (404) 591-1884

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    • EAR

      CONDITIONS AND DISEASES 
      Ear Tubes (Myringotomy)
      Ear Infections in Children
      Foreign Bodies in the Ear
      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

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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
      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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