• Forms

    You have the option to print our office forms from this page to complete at home at your convenience prior to your appointment.  This is often much easier for you and reduces your wait time at our office.  We have worked to create forms that are clear, concise, and eliminate redundancy (no one likes to fill out the same information multiple times on different forms!).  We care very much about your experience with us, down to the smallest details.

     

    NEW PATIENT FORMS (complete if you have never been to our office before)

    Registration

    Notice of Privacy Practices

    Protected Health Information Communications

    Case History (Adult)

    Case History (Child)

    OTHER FORMS

    Tinnitus Handicap Inventory (for Tinnitus Eval)

    Patient Health Questionnaire (for Tinnitus Eval)

    Release of Medical/Health Records

    PAYMENT OPTIONS

    Click here