Audiologist Patient Forms in San Tan Valley, Sun Lakes, Fountain Hills & Maricopa, AZ
We Welcome New Patients
To save time during your initial visit to Priority Hearing & Tinnitus, please take a moment to download, print fill out the new patient forms below. Your completed forms cannot be submitted online. Please bring the completed forms with you to your appointment – we can’t wait to meet you!
- Case History Form (Online Submission Not Available – Please Print)
- HIPAA Consent Form (Online Submission Not Available – Please Print)
- Patient Information Form (Online Submission Not Available – Please Print)
- Advanced Notice of Non-Covered Services Form (Online Submission Not Available – Please Print)
- Self Assessment Questionnaire Form (Online Submission Not Available – Please Print)
- Tinnitus Questionnaire (Online Submission Not Available – Please Print)
As one of the premier audiology practices in Fountain Hills, Maricopa, San Tan Valley, and Sun Lakes AZ, our audiologists and team at Priority Hearing & Tinnitus also provide 5-star hearing care to patients from Queen Creek & Fountain Hills, AZ & the surrounding areas.