Patient Resources

Everything you need, all in one place.

Patient Resources

Everything you need, all in one place.

Office Hours

M-F: 8AM – 5PM
S-S: – Closed –
Walk-ins welcome!

Location

123 Street Ave #100
Citytown, ST 01234

Patient Forms

New patients, please complete this health history form and bring it with you during your first appointment. Existing patients, please complete this form if you’ve had any changes.

Download Adult // Download Pediatric

Please bring this completed form with any existing or new insurance information. Please don’t forget to bring your insurance card and ID to your appointment

Download

Please sign and date this form and bring it with you to your first appointment. Existing patients should not need this form.

Download Form // Read Policy

Patient Portal

For Your Next Appointment

01.

Confirm Your Appointment

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03.

Print & Bring Your Forms

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02.

Don’t Forget Your ID & Insurance Card

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04.

Don’t Stress!

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Quick Info

Hearing Aid Brands We Carry
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Insurance We Accept
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Upcoming Seminars
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Professional Affiliations
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Staff Directory
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“Donec sollicitudin molestie malesuada. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Vivamus magna justo, lacinia eget consectetur sed, convallis at tellus. “ Dr. Jen Sampson, Au.D.

Owner

Useful Articles

Is Your Hearing Loss Impacting Your Relationships?

Is Your Hearing Loss Impacting Your Relationships?

If there is a significant other in your life (friend or family) who has a hearing loss, then this article is for you.  Relationships can be trying.  However, being in a relationship with someone who has an untreated hearing loss is a frustrating experience on a good...

read more
How to Protect Your Hearing from Harmful Noise

How to Protect Your Hearing from Harmful Noise

Every day, we experience noise in our environment, such as the noise from the television, portable listening devices, household appliances, and traffic. If these sounds are at a safe level, they don’t damage our hearing. But sounds can be harmful when they are too...

read more
Can Hearing Loss Be Inherited?

Can Hearing Loss Be Inherited?

Your dad needed hearing aids a decade before he got them.  And his dad, your grandad watched the TV with the volume so loud you remember being able to hear it outside the house.  You know you’ve been saying, “What did you say.” more in the past year than ever before. ...

read more

Get in Touch

Ask a question or schedule an appointment below.

Privacy

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(555) 341-3769

234 Avenue St. #100, Citytown, ST 01234

info@hearingbetter.com