All new patients must fill out some simple forms before their first visit. In order to save time, we recommend printing and filling out the following forms before you arrive at your appointment.
Patient Information Form– This form contains information about you and your insurance coverage.
Privacy Practices HIPAA Notice– This form contains information about our privacy practices, specifically how your medical information will be used and how you can gain access to this information.
Surgical In Office Procedures Notice– This form contains information about procedures that are not included in a standard office visit.
Medical History Form– Hearing Aid Users This form contains information about your medical history.
Medical Records Release Form– This form only needs to be completed if you are requesting permission to release your medical records