Patient Forms

Reception Desk at The Hearing and Balance ClinicTo 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.

Companion Questionnaire

Hearing Health Assessment

Patient Information Form

Tell Us About You:
Let’s Get To Know You – About You

Let’s Get To Know You – Hearing Aid Story

Request an Appointment

Please use the Additional Comments box for any further details or questions.

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