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.

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Child History Packet

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

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Adult Packet for Tinnitus

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

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Adult Packet for Dizziness

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

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Call us today and schedule an appointment!

(410) 944-3100

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Maryland's First Audiology Practice

Phone: (410) 944-3100

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