Board Certified Neurotologic & Audiologic Care Since 1993

Before Your Visit

Patient Forms

Completing your paperwork ahead of time means less waiting and more time with your provider. Print, fill out and bring these forms to your appointment.

New Patient Registration

Patient Registration, Medical Questionnaire, Medical Release Authorization, Financial Policy Agreement, Acknowledgement of receipt and Directions.

Download this form (PDF)

Come Prepared

What to Bring

  • Photo ID and current insurance card(s)
  • Referral or authorization, if your plan requires one
  • A list of your current medications and dosages
  • Prior audiograms, imaging or ENT records if available
  • Your current hearing aids, chargers and accessories

Arrive 15 Minutes Early

If you weren't able to complete your forms in advance, please plan to arrive 15 minutes before your scheduled time so we can get you checked in without delaying your appointment.