Online Registration
To fill out our patient paperwork digitally using the online registration system, click on the links below to open the appropriate form in a new window.
New Patients
- Registration Form
- Consent & Authorization of Disclosure Form
- Privacy Policy
- Financial & Insurance Policies
- Technology and Information Update
- Adult Case History
- Adult Auditory Processing Case History
- Pediatric Case History
- Pediatric Auditory Processing Case History
- Tinnitus Functional Index
- COAT
- Newborn Case History
- Companion Questionnaire
Returning Patients
Printable Registration Forms
Save time by printing the necessary forms below and bringing them with you to your appointment. Also, please bring a current copy of your driver’s license or state ID and a copy of your current insurance or Medicare card to every appointment.