To get the most out of your better hearing consultation, please fill out these forms and print them to bring with you to your appointment.

We encourage you to fill out your paperwork prior to your appointment—it can help save you time when you check in to our office, spur important conversations between you and your loved ones, and get you thinking about your better hearing goals.

To fill out your patient form prior to your appointment, click the link to download the form(s) you need.

If we are performing a non-covered procedure or we are not in your insurance network, payment in full is required on date of service.
If your insurance is not on this list, though you will be required to pay up front, we always bill to your insurance company as a courtesy. We will refund you any amount we are paid.
We are non-participating with all other insurances and will file claims on your behalf; however, all fees must be paid on the date of visit
Understanding your insurance is your responsibility. We strongly suggest that you contact your insurance prior to services to ensure that they are 1) covered and 2) that we are an in-network provider. While we will do you the courtesy of billing your insurance, you are responsible for payment for non-covered services.
You must provide ALL of your insurance cards/proof of insurance at the time of your visit. If you fail to provide us all insurance benefits and your bill goes unpaid, you will be responsible for payment of your bill IN FULL.

New Patient Questionnaire
Companion Questionnaire