Mon-Fri 8:00 AM - 4:30 PM

A woman laughs while gently listening to an older man's ear, both seated indoors.

Streamline Your Visit with Easy Access to Patient Forms

Prepare for Your Appointment with Longmont Hearing and Tinnitus Center

Prepare for Your Appointment with Longmont Hearing and Tinnitus Center

We aim to make your visit to our clinic as smooth and efficient as possible. To save you time and ensure a more focused consultation, we offer all necessary patient forms online. By accessing these forms in advance, you can arrive prepared and make the most of your appointment time with our dedicated audiologists.

We aim to make your visit to our clinic as smooth and efficient as possible. To save you time and ensure a more focused consultation, we offer all necessary patient forms online. By accessing these forms in advance, you can arrive prepared and make the most of your appointment time with our dedicated audiologists.

A receptionist assists a visitor at a front desk, while another staff member stands nearby, smiling.
A receptionist assists a visitor at a front desk, while another staff member stands nearby, smiling.

Why Fill Out Forms in Advance?

Save Time

Completing your forms before your visit means less time spent in the waiting room, allowing us to begin your consultation without delay.

Accurate Information

Filling out forms in the comfort of your home ensures you have all the necessary information at hand to provide complete and accurate medical history and insurance details.

Focused Consultation

With paperwork out of the way, you and your audiologist can focus entirely on your hearing care needs and concerns, fostering a more personalized and productive appointment.

How to Use Our Patient Forms

Simply click on the links below to download, print, and complete the forms at your convenience.

Please be sure to bring the completed forms with you, as this will expedite the check-in process and allow us to address your hearing health needs promptly.

If you have any questions or need assistance while filling out your forms, please don't hesitate to contact us. Our friendly staff is here to help ensure you feel comfortable and well-prepared for your visit.

Access Your Patient Forms

Below, you’ll find the links to download our patient intake forms, insurance documentation, and any other required paperwork for your appointment. Simply click on each link to access and print the forms.

New Patient Intake Form

HIPAA Privacy Agreement

Insurance Information Form

Medical History Questionnaire

  • D’Anne Rudden is wonderful! Would recommend her services to anyone. Also, the staff was so lovely and were quick to get me in for an appointment!

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Sophie S

    2 weeks ago

  • Special thanks to Dr Demars- she’s fun and wonderful to work with while also being very knowledgeable and professional.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Leanne D

    1 month ago

  • First time visit didn't know what to expect little nervous I was greeted with a warm smile and a greeting.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Gary S

    2 months ago

  • We had an amazing experience with Longmont Hearing and Tinnitus Center! From booking our appointments only 10 days before he end of the year to them fitting my husband.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Diana C

    2 weeks ago

  • Dr. Caney Demars​ was unlike any other doctor I've seen before, anywhere. She was interested in what I had to say, actually listened to me and showed genuine concern.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Rodger S

    Lead Software Engineer

  • D’Anne Rudden is wonderful! Would recommend her services to anyone. Also, the staff was so lovely and were quick to get me in for an appointment!

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Sophie S

    2 weeks ago

  • Special thanks to Dr Demars- she’s fun and wonderful to work with while also being very knowledgeable and professional.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Leanne D

    1 month ago

  • First time visit didn't know what to expect little nervous I was greeted with a warm smile and a greeting.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Gary S

    2 months ago

  • We had an amazing experience with Longmont Hearing and Tinnitus Center! From booking our appointments only 10 days before he end of the year to them fitting my husband.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Diana C

    2 weeks ago

  • Dr. Caney Demars​ was unlike any other doctor I've seen before, anywhere. She was interested in what I had to say, actually listened to me and showed genuine concern.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Rodger S

    Lead Software Engineer

  • D’Anne Rudden is wonderful! Would recommend her services to anyone. Also, the staff was so lovely and were quick to get me in for an appointment!

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Sophie S

    2 weeks ago

  • Special thanks to Dr Demars- she’s fun and wonderful to work with while also being very knowledgeable and professional.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Leanne D

    1 month ago

  • First time visit didn't know what to expect little nervous I was greeted with a warm smile and a greeting.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Gary S

    2 months ago

  • We had an amazing experience with Longmont Hearing and Tinnitus Center! From booking our appointments only 10 days before he end of the year to them fitting my husband.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Diana C

    2 weeks ago

  • Dr. Caney Demars​ was unlike any other doctor I've seen before, anywhere. She was interested in what I had to say, actually listened to me and showed genuine concern.

    Google logo with stylized letters "G" in blue, red, yellow, and green colors on a transparent background.
    Rodger S

    Lead Software Engineer

Prepare For your Appointment

Thank you for taking the time to prepare for your appointment with us. We look forward to welcoming you to Longmont Hearing and Tinnitus Center, where your hearing health is our top priority.

For any additional information or assistance, please contact our office directly.

Prepare For your Appointment

Thank you for taking the time to prepare for your appointment with us. We look forward to welcoming you to Longmont Hearing and Tinnitus Center, where your hearing health is our top priority.

For any additional information or assistance, please contact our office directly.

A person with long hair speaks on the phone in a cozy office setting. A wall sign is visible in the background.

Prepare For your Appointment

Thank you for taking the time to prepare for your appointment with us. We look forward to welcoming you to Longmont Hearing and Tinnitus Center, where your hearing health is our top priority.

For any additional information or assistance, please contact our office directly.

A person with long hair speaks on the phone in a cozy office setting. A wall sign is visible in the background.