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

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Streamline Your Visit with Easy Access to Patient Forms

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.

Request a Callback

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

Patient Forms

Exceptional, caring service from everyone that I worked with. I wish I could use more gold stars!!
John H
1 day ago
This was my first time and I had an excellent visit. All the staff are friendly, knowledgeable and professional and they have high end testing gear. I already rebooked for next year.
Peter B
3 weeks ago
HUGELY, hugely helpful and very kind. My sister (from the UK) visited Longmont Hearing & Tinnitus Center in January 2025 as she was experiencing significant issues with her hearing aids acquired and programmed in the UK.
Deirdre B
3 weeks ago
This was my first visit, and I wasn't sure what to expect. As soon as I met Dr. Rudden, I felt completely at ease. She is a caring, warm professional, and I have every confidence that my hearing will improve under her care.
Susan C
1 month ago
I highly recommend Longmont Hearing & Tinnitus Center, they have been nothing but great since I started going there for my annual hearing evaluations. Jill was very caring and thorough when explaining the results. The entire team provides great service especially when needed the most.
Alicia p
1 month ago

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.

[email protected]

(303) 651-1178