Hours: M-Th 9am-4pm
Phone: (985) 262-7335
Patient Intake Form
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.
Notice of Privacy Practices
This describes our clinic's privacy practices and informs you of your rights regarding your personal health information.
This form acknowledges receipt of our Notice of Privacy Practices and authorizes consent to communicate with individuals listed.
& Financial Policies
This form explains our Appointment and Financial policies.