Patient Forms

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 Assessement (New Users) (PDF) - if you are new to hearing technology and have never worn hearing instruments previously, please complete this form.
• Hearing Health Assessement (Current Users) (PDF) - if you are currently wearing hearing instruments or have worn them in the past, please complete this form.
• Patient Registration (PDF) - to be completed by all patients.