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Patient registration forms

Please complete the appropriate patient forms prior to your visit. Your check-in time is 15 minutes prior to your scheduled appointment time. Please call us at 1-885-547-8745 if you have any questions about the forms.

New Patient

Please print and complete one of the following:

Adult - New Patient Hearing Forms

Adult - New Patient Tinnitus Forms

Adult - New Patient Dizziness Forms

Pediatric (Birth to 17) - New Patient General Form

Pediatric (Birth to 17) New Patient Forms

New patients must print and complete the appropriate forms prior to their first visit. Some insurance policies require written authorization from your primary care physician, which we ask you to obtain prior to your testing.

Existing Patient

Please print and complete the following:

Annual Update Forms
 

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