Patient Forms

Your First Appointment

You can print and complete these two new patient forms to bring to your initial appointment.

• 1. New Patient Intake Form
• 2. Hearing Comfort and Confidence Scale
• Your First Appointment
  • Ear exam and cleaning
  • See your ears on TV
  • Hearing vs. Understanding
  • Sound room tone test
  • Hearing aid counseling
  • Hearing aid demo
  • Home-made baked treats
• Your First Few Days
  • Better Hearing Training Guide
  • Practice with new instruments
  • Brain Rehabilitation
  • Reading aloud
  • On Stage vs. Off Stage
  • Foreground vs. Background
  • More comfort and confidence
• Your Ongoing Care and Warranty
  • Weekly for 4-5 weeks
  • Quarterly for 1 year
  • Semi-Annual or Annual
  • No charge in-office maintenance, exams, cleaning, and tests for life!
• Your Help for Others to Hear Better
  • Texas School for the Deaf
  • Better Hearing Instrument Scholarship
  • All donations accepted
  • Donations from patients with instruments are MATCHED!
  • Instruments become the student's property