To 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.


English Forms

Patient Information Form
Download
Companion Questionnaire
Download
Patient Consent Form
Download
Patient History Form
Download

Documentos Españoles

Información del Paciente
Download
Forma del Permíso del Paciente
Download
Forma Histórica del Paciente
Download
Notícia de la Intimidad
Download
Evaluacion de la Pérdida de la Audición
Download
Declaración de Princípios Financieros
Download