Please complete and bring to your appointment.
- Companion Questionnaire (PDF) – to be completed by a spouse or companion who is familiar with your hearing issues. We always encourage you to bring a companion with you to your appointment.
- Hearing Health Assessment (PDF) – to be completed by all patients.
- Patient Registration (PDF) – to be completed by all patients.
- Pediatric Case History (PDF)
- Cerumen Management History
- Tinnitus Handicap Inventory
- BPPV Patient History