Patient Forms

Downloadable Patient Forms

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.

• Patient Registration Form
• Medical Records Release Form
• Medicare Authorization Form
• Financial Policy, Payment Agreement, Refund and Dispute Policy
• Notice of Privacy Practices