Patient Forms

To help us serve you better, please download and complete our patient forms and bring them to your appointment. In addition to your patient forms, please bring ALL insurance cards, a photo id and any relevant studies or tests you have completed. It is also important to let us know what prescriptions or other medications you are taking.

Patient Forms

Patient Intake Form

Patient Intake Form - Spanish

Epworth Sleepiness Scale

Records Release Form

Financial Policy

Financial Policy - Spanish

Privacy Practices

Audiology Handouts

ENT/Audiology Intake Form English & Spanish

Manual for Better Hearing with Hearing Aids

Understanding Tinnitus

Hearing Loss Questionnaire

Dizziness Questionnaire

Dizziness (VNG) Instructions

Birthday Special

Limited Time Offer