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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

Tinnitus

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

NewsFeed

Tinnitus / 05.09.2018

According to the American Tinnitus Association (ATA), approximately 50 million Americans experience tinnitus. That’s nearly one in every six of us. If you know more than six people (and we know you ...

Open House! / 04.25.2018

Please come join us for our grand opening/open house of our new main office location (803 E 68th St) on Wednesday, May 16th from 5pm-7pm. Come enjoy food and drinks and tour our new office ...

Journey of Sound to the Brain! / 04.25.2018

Have you ever wondered how sound waves turn into the familiar sounds we hear and recognize every day?

The National Institute on Deafness and Other Communication Disorders (NIDCD), which developed ...