To better serve you and to maximize your appointment time, please have the following forms completed. Please have these forms ready prior to your appointment or you may scan and email to


New Patient ADULT Intake Form

New Patient CHILD Intake Form

Patient Consent Form

Notice of Privacy Practice

Companion Questionnaire (Please PRINT and have your companion complete this form)

If you have Lost or Damaged your Hearing Device, please Contact Us

for immediate assistance.