New Patient Information

It’s our goal that you find your consultation with our audiologists a productive and pleasant experience. Your patient history as well as other information is vital to a successful visit.

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Adult History Packet

If you are an Adult scheduling an appointment for a hearing evaluation, this form is for you.


Child History Packet

If you are scheduling on behalf of a patient under the age of 18, fill out their information on this packet.


Adult Packet for Tinnitus

If you are experiencing ringing in the ears and are scheduling an appointment for a hearing evaluation.


Adult Packet for Dizziness

If you or a family member are experiencing vertigo, dizziness or balance problems.

Don't Be Shy. Get In Touch.

Call us today and schedule an appointment!

(410) 944-3100

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Maryland's Premiere Audiology Practice

Phone: (410) 944-3100

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