Lifestyle4 Audiology and hearing aid services logo Hl words pic

Forms & Links

New Patient Paperwork

If you would prefer to download the new patient paperwork at home, we have provided the document on our website.
Please print out and complete all 8 pages and bring them with you to your first appointment. 

New Patient Information 
Case History 
Medication List
Privacy Disclosure Page 1
Privacy Page 2
Privacy Page 3

COAT Page 1
COAT Page 2


Financial Assistance for Hearing Aids

Lions Club
Audient Alliance


American Tinnitus Association

Useful Links

Turn it to the Left
American Hearing Loss Association of America
Better Hearing
How is your Hearing?
Healthy Hearing

Request an Appointment Lifestyle Questionnaire Take our Hearing Test


How do you know when it’s time to update your hearing aids? / 08.15.2017

Hearing aids typically last for 3-7 years or longer before they need to be replaced. But there are several other factors that you should consider. Your hearing loss can change over time, and so can ...

Sooner is better / 08.09.2017

While most instances of hearing loss cannot be reversed, there are ways to improve hearing. Seeing a hearing specialist sooner is better.
Over time, reduced stimulation to your ears and brain can ...

Did you know? / 08.07.2017

Did you know that there are several different types of hearing loss?

Presbycusis (loss of hearing that occurs gradually as one ages) is the most common for those 55 and older. Exposure to loud ...