This package includes 2 forms, a Patient Information Form and a the APHAB “Abbreviated Profile of Hearing Aid Benefit” form.

NEW PATIENT FORM

ABBREVIATED PROFILE OF HEARING AID BENEFIT

The APHAB is an easy 24-item self-assessment inventory where you report the amount of trouble you are having with communication or noises in various everyday situations

Please print out these forms, complete them and bring them with you to your first visit.

PLEASE DO NOT MAIL THESE FORMS

Please bring any prior hearing tests so that we may see if there has been a change in your hearing.

Please bring your insurance card(s) when you come to the office.