1161 St. Charles Street, Suite A

Houma, Louisiana  70360

Phone:  (985) 262-7335
Fax: (985) 302-0887

contact@comphearingsolutions.com

Hours: M-Th 9am-4pm

LIFE IS WORTH HEARING

© 2019 by Comprehensive Hearing Solutions. All Rights Reserved.

Patient Forms

This form will be completed at your first appointment.  You can fill out the form before your appointment if you wish by downloading from the link above.

This form helps collect patient hearing and medical history.

Characteristics of Amplification Tool

This form helps us to better understand your amplification needs.  You can fill out the form before your appointment if you wish by downloading from the link above.

(Read)

This describes our clinic's privacy practices and informs you of your rights regarding your personal health information.  

(Receipt Acknowledgment)

This form acknowledges receipt of our Notice of Privacy Practices and authorizes consent to communicate with individuals listed.

This form explains our Appointment and Financial policies.