New Patient Information

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.


Consent to Treatment Regarding COVID-19

If you are scheduling an appointment, please complete our COVID-19 consent to treatment form. 


Patient Reference Material

Request a Callback

It’s often the small things that hold us back from making a positive decision, whether it’s a question, or a concern.

That’s why, at Audiology Associates, a hearing care expert is on hand to help. Simply complete this form and when our hearing expert is available, she will call you for a friendly no-obligation conversation to answer your questions.