Patient Forms

To help make your visit more pleasant and efficient, we have included the below forms so that you can print and fill them out prior to your appointment. Please speak to one of our friendly staff members for instructions on which form you need to bring. And of course, we are always standing by to answer any questions you may have!
Case History Form 78.1kb
HIPPA Privacy Practices Acknowledgement 68.1 kb
HIPPA Statement 170 kb
New Patient Forms 105 kb
Abbreviated Profile of Hearing Aid Benefit 64 kb
Hearing Handicap Inventory - Screen Version HHIE-S 51 kb
Client Oriented Scale of Improvement 36 kb
Pediatric History Form 27kb
Case History for Auditory Processing Assessment in Children 10kb
Office Policies 161 kb