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.

Personal Information Form
Download
Companion Questionnaire
Download
Hearing Loss Questionnaire
Download
ENG (Electronystagmography Testing): Personal Information Form
Download
ENG (Electronystagmography Testing): Dizziness/Imbalance History Form
Download
Patient ENG/VNG Instructions
Download
Pediatric Questionnaire
Download
Pediatric: Personal Information
Download
Diagnostic Audios: Personal Information
Download
Diagnostic Audios: General History
Download