Request An Appointment with Associated Audiologists Complete the form on this page to be contacted by a member of our staff who will schedule your appointment with you. Request An Appointment Name* First Name Last Name New Patient?* Yes No Phone*Email* Preferred Location*Please SelectIndependenceKansas City NorthlandLawrenceLeavenworthManhattanOverland ParkPrairie VillageShawnee MissionWho is this appointment for?* Myself Family Member Preferred method of contact?Please SelectEmailPhone a.m.Phone p.m.I need help with: Hearing loss Dizziness or imbalance Tinnitus (ringing in the ears) Questions or commentsUntitled I would like to sign up to receive news and updates. CAPTCHA Δ