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PATIENT FORMS

Hearing Services in Aurora & Parker, CO

Hearing Associates Patient Forms

 

At Hearing Associates, we understand the value of your time, which is why we make our appointment check-in process significantly more efficient by enabling our patients to access patient forms prior to their visit. Simply fill out your required form and bring it with you on the day of your appointment.

 

Patient Intake

 

Please download and complete our patient intake form if you are a new or existing patient. These forms will be turned in on the day of your appointment. 

Pediatric Patient Intake

Please download and complete our pediatric intake form if your child is a new or existing patient at Hearing Associates. It is recommended to keep a copy for your records.

Spanish Patient Intake Form

For the convenience of our Spanish-speaking patients, please download and complete our Spanish patient intake form. These forms will need to be turned in on the day of your appointment.

PHI Release Form

For new or existing patients allowing our hearing specialists to use or disclose your protected health information for the purpose of treatment, payment, or healthcare operations, please download and complete our PHI release form.

Communication Strategies

Our communication strategies guide is a resource created by ENT professionals to help patients who have experienced hearing loss and their loved ones find effective ways to communicate. Eliminate guilt and frustration by developing a thorough understanding of how to navigate this condition.

Abbreviated Profile of Hearing Aid Benefits

 

Please download our Profile of Hearing Aid Benefits and complete the questionnaire for your next appointment with our Hearing Associates professionals. These questions aid us in gauging your individualized hearing difficulties, providing a better understanding of what to look for during your physical evaluation.

Hearing Patient Form in Aurora & Parker, CO

Communicating Strategies

Our communication strategies guide is a resource created by ENT professionals to help patients who have experienced hearing loss and their loved ones find effective ways to communicate. Eliminate guilt and frustration by developing a thorough understanding of how to navigate this condition.

 

Abbreviated Profile of Hearing Aid Benefits

Please download our Profile of Hearing Aid Benefits and complete the questionnaire for your next appointment with our Hearing Associates professionals. These questions aid us in gauging your individualized hearing difficulties, providing a better understanding of what to look for during your physical evaluation.

 

Speak to a Specialist

If you are unsure which patient form pertains to your unique situation or have questions or concerns regarding our intake processes, please don’t hesitate to contact our Aurora or Parker office at your convenience.

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