Swoosh
Skip to main content
Specializing in the treatment of hearing and balance disorders
☰ Menu
 

Patient Forms & Resources

Patient Forms

Hearing Loss Questionnaire If you have schedule a hearing loss evaluation, please print and complete this form and bring it with you to your appointment.
Dizziness Questionnaire If you have scheduled a balance evaluation, please print and complete this form and bring it with you to your appointment.
Tinnitus Handicap Inventory If you are experiencing problems related to tinnitus (ringing in the ears), please print and complete this form and bring it with you to your appointment.
Hearing Handicap Inventory for Adults To be filled out prior to a hearing aid evaluation
Family Contact Information Form Download the family contact information form here.
Record Transfer Form To transfer records, fill out this form.
Notice of Privacy Practices Read our privacy practices here.

Patient Resources

Academy of Doctors of Audiology

American Academy of Otolaryngology—Head and Neck Surgery

American Academy of Audiology

American Speech-Language-Hearing Association

American Tinnitus Association

Better Hearing Institute

Hearing Health Foundation

Healthy Hearing—Your Complete Hearing Aids Information Source

Neurotone Inc.

Guide for Students with Hearing Impairments

7 High-Tech Reasons you Should Finally Deal with Your Hearing Loss

Supporting Deaf and Hard of Hearing Students