New Patient Forms
Welcome new patients! To save time in our waiting room, please complete all the forms below. At the end of your journey you will receive a coupon worth $500 for premium level hearing aids!
If you have already made an appointment, begin with Step 2 – Complete New Patient Information Form.
Step 1 – Request Appointment Step 2 – Complete New Patient Information Form Step 3 – Submit HIPAA Acknowledgement Step 4 – Sign Medical Release Step 5 – Print Hearing Aids CouponWonderful service. I’d recommend to anyone that’s in or around Sierra Vista looking for affordable reliable hearing aid service.
