Patient Forms

To make your first appointment proceed smoothly, we request that the Patient Information Forms be completed prior to your visit. This will ensure less wait time, and provide the information our audiologists need to know regarding your hearing history and overall wellness.

If you have any questions about any of the information needed, please free to call our office and our staff will be able to help!

Please print the form below, fill it out and bring it to your appointment.

If you would prefer you can download the fillable form below, complete it and email it to betterhearing@cnymail.com.

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