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Douglas C. McCorkle, M.D., F.A.C.S.

Otolaryngology Head and Neck Surgery. Specializing in friendly care and professional treatment of the Ear, Nose and Throat.

Owings Mills Office: (410) 363-7172

Westminster Office: (410) 876-2525

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PRE-OP HISTORY AND PHYSICAL FORM

Click the link below to download the form you need in the format you desire.

Please have your Primary Care Physician complete this form and fax or mail to our Owings Mills office (410) 363-7188.

 

 

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