Intake Forms
Palm Beach Hearing Associates would like to make your initial visit go smoothly. For your convenience, our office paperwork is available for you to download and fill out in the convenience of your home. Please bring everything with you to your initial visit.
English
Patient Intake Form
1 file(s) 160.59 KB
Pediatric Patient Intake
1 file(s) 389.39 KB
Tinnitus Handicap Questionnaire
1 file(s) 299.73 KB
HIPPA Notice
1 file(s) 146.34 KB
Spanish
Patient Intake (Spanish)
1 file(s) 332.28 KB
Tinnitus Handicap Questionnaire (Spanish)
1 file(s) 234.90 KB
HIPPA Notice (Spanish)
1 file(s) 150.64 KB