PATIENT FORMS
Patient Forms Policy: All required forms must be completed prior to your appointment. If you are unable to complete them prior to your appointment, you must arrive 30 minutes prior to your appointment to complete the forms on our office tablets. If you arrive right at your appointment time and do not have your paperwork filled out, we reserve the right to reschedule your appointment. If you do not have access to a computer, smartphone or tablet, you can call our office at 502-215-3665 and request the paperwork be mailed to you.
New Patient Appointment
- Hearing & Medical Case History Form
- Demographics Form
- Acknowledgement of Financial Policies & Privacy Practices Form