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Boulder and Weld Counties
Preferred Hearing
Healthcare Provider
Since 1992!

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Patient Forms

Download and complete these forms if you are scheduling or have scheduled a hearing test or hearing aid consultation appointment. You can either print the forms and bring them with you to the appointment or email them to Alicia, our patient care coordinator at [email protected].

Patient Registration Form
Notice of Privacy Practices Information

Download and complete this form if you have scheduled a Tinnitus Evaluation. You can either print the form and bring it with you to the appointment or email it to Alicia, our patient care coordinator at [email protected].

Tinnitus Registration Form

 

You will need Adobe Acrobat Reader to download the patient orientation forms. If you don’t have Adobe Reader, you may download it free¬†here.