Patient Forms

Patient Forms

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.

Patient Intake Form

Download

Medical Record Release Request and Authorization Forms

Our Medical Record Release Request and Authorization forms are included below for your convenience. Click the link to download the form(s) you need.

Medical Record Release Request

Download

Medical Record Release Authorization

Download