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.

New Patients

Registration

Download

Receipt of HIPAA Notice

Download

Email Text Fax Authorization

Download

Communication Authorization

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Patient Authorization of Disclosure

Download

Consent for Photography

Download

Patient History – Adult

Download

Patient History – 17 Y.O. and Under

Download

Cerumen Removal Consent Form

Download

Existing Patients - Annual Forms

Registration

Download

Receipt of HIPAA Notice

Download

Email Text Fax Authorization

Download

Communication Authorization

Download

Patient Authorization of Disclosure

Download

Consent for Photography

Download

Cerumen Removal Consent Form

Download