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
Donec sollicitudin molestie malesuada. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae;
“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

This Father’s Day, Give the Gift of Better Hearing

This Father’s Day, Give the Gift of Better Hearing

Father’s Day should be a day to celebrate with loved ones. But for many, it is a day when unaddressed hearing loss can cause feelings of isolation and depression. Many people with hearing loss do not recognize that a problem exists. Unfortunately, convincing someone...

read more
Can Hearing Loss Lead to Social Isolation and Loneliness?

Can Hearing Loss Lead to Social Isolation and Loneliness?

When John’s wife asked for the volume on the TV to be turned down, he gave up and turned off the TV altogether. If he turned it down to a volume level she could tolerate, he could no longer understand what was said. He blamed it on her sensitive ears. John also...

read more
Is Exercise Good for Your Hearing?

Is Exercise Good for Your Hearing?

We all know that exercising is good for our bodies. But we tend to think of our bodies in the context of what is good for our muscular health, cardiovascular health and general well being. Three recent studies have demonstrated a link between reduced physical activity...

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