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 and to check with your insurance regarding hearing aid coverage — 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 Patient Information
Download
Characteristics of Amplification Tool (COAT)
Download
Authorization for Release of PHI
Download
Consent for Medical Treatment
Download
Pediatric General Information – Page 1
Download
Pediatric General Information – Page 2
Download