Download New Patient Forms Here

To make the new patient process as easy as possible once you arrive at our office, click here to download the Saline Audiology New Patient Forms Packet.

This packet contains the following forms:

  • Patient Information Sheet
  • Medical Hearing History
  • Patient Record of Disclosure
  • Notice of Privacy Practices
  • Privacy Practice Acknowledgement

Please complete these forms and bring them with you the day of your appointment. Try to arrive about 20 minutes before your scheduled appointment.

If you are experiencing DIZZINESS, please complete the Dizziness Patient Questions on this form and bring with you to your appointment.