Get the Most Out of Your Better-Hearing Consultation

Please fill out these forms and print them to bring with you to your appointment.

We encourage you to fill out your paperwork prior to your appointment — it can help save you time when you check in to our office, spur important conversations between you and your loved ones, and get you thinking about your better-hearing goals.

To fill out your patient form prior to your appointment, click the link to download the form(s) you need.

ALL NEW PATIENTS

Please fill out the following forms:

• Patient Information Intake Form
• Hearing History Questionnaire
• HIPAA Consent Form

MEDICARE PATIENTS

Please fill out the above forms as well as the form below:

• Medication List