Hearing Health Report (Adult)
For patients 18+ years old
To make the best use of your time at your first appointment, please complete the form in advance. Email the completed PDF to care@HearingDoctors.com, or bring a printed copy to your appointment. Open Adult HHR Form
Spanish Version – Reporte de Salud Auditiva
Hearing Health Report (Pediatric)
For patients under 18 years old
Spanish Version – Reporte de Salud Auditiva Pediátrico
Tinnitus Assessment Inventories
Spanish Version – Cuestionario de Reacción al Zumbido
Hearing Handicap Inventory for Adults (HHIA)
Vestibular Testing Intake Form
Release of Patient Information Form
Acknowledgment of Notice of Privacy Practices
The Health Insurance Portability and Accountability Act (HIPAA) requires us to provide patients or their power of attorney (POA) with our Notice of Privacy Practices, and to obtain their signature to acknowledge that they have received it. Providing your digital signature takes approximately 1 minute and doesn’t require any special software.
Request a Callback
Simply complete the form and a member of our team will call you shortly for a friendly, no-obligation conversation. Alternatively, you can book an appointment online today.
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Audiology & Balance Experts Providing Exceptional Care For Your Quality of Life
State-of-the-Art Equipment Ensuring Accuracy, Best Fit & Superior Sound Quality
Center of Specialty Care
Balance, Dizziness, & Vertigo specialist and proud member and partner of the AIB.
We Accept Most Insurances
We will help verify your benefits in advance, to minimize your out of pocket costs.
2500+ ★★★★★ Patient Testimonials
Great practice, wonderful doctor. I had been going to a different audiology practice for years and just didn’t know any better. My exam was more thorough, the doctor listened to my concerns and worked to find solutions. The staff is nice. It was just a world of difference.
- Tom W.
Dr Anzola and her team are excellent professionals, provide a high level quality service and are very nice people. I strongly recommend her office. For me 5 starts!!!!! Thanks a lot
- Cesar F.
1. Super professional staff, they go above and beyond .
2- Dr. Anzola does magic and suggests the right hearing aids for you, and solves all of your problems in a very short time.
- Farchid K.