Palm Beach Gardens: (561) 500-3277

Boynton Beach: (561) 708-6246

Wellington: (561) 708-6247

Jupiter: (561) 500-3277
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    • Our Team
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    • Guide to Hearing Aids
    • Oticon
    • Phonak
    • ReSound
    • Rexton
    • Signia
    • Starkey
    • Unitron
    • Widex
    • Bluetooth
  • Services
    • Hearing Tests
    • Hearing Aid Evaluation
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Earmolds and Earplugs
    • Musician Ear Plugs And Monitors
    • Pediatric Audiology
    • Tinnitus Treatment
  • Hearing Resources
    • How Hearing Works
    • Hearing Loss FAQs
    • Hearing Protection
    • CaptionCall
    • Blog
  • Patient Info
    • Forms
    • Care Credit
    • Wells Fargo Financing
  • Contact Us
    • Boynton Beach
    • Jupiter
    • Palm Beach Gardens
    • Wellington
  • Home
  • About Us
    • Our Team
    • Reviews
  • Hearing Aids
    • Guide to Hearing Aids
    • Oticon
    • Phonak
    • ReSound
    • Rexton
    • Signia
    • Starkey
    • Unitron
    • Widex
    • Bluetooth
  • Services
    • Hearing Tests
    • Hearing Aid Evaluation
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Earmolds and Earplugs
    • Musician Ear Plugs And Monitors
    • Pediatric Audiology
    • Tinnitus Treatment
  • Hearing Resources
    • How Hearing Works
    • Hearing Loss FAQs
    • Hearing Protection
    • CaptionCall
    • Blog
  • Patient Info
    • Forms
    • Care Credit
    • Wells Fargo Financing
  • Contact Us
    • Boynton Beach
    • Jupiter
    • Palm Beach Gardens
    • Wellington

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.
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Patient Intake Form

1 file(s) 160.59 KB
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Companion Form

1 file(s) 79.93 KB
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Testimonial Release

1 file(s) 78.13 KB
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Privacy Terms

1 file(s) 25.30 KB
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Palm Beach Gardens

2401 PGA Blvd
Suite 128
Palm Beach Gardens, FL 33410
561-500-3277

View Location

Boynton Beach

2240 W Woolbright Road
Suite 342
Boynton Beach, FL 33426
561-708-6246

View Location

Wellington

420 S State Road 7
Ste 122
Wellington, FL 33414
561-708-6247

View Location

Jupiter

210 Jupiter Lakes Blvd
Suite 202, Building 3000
Jupiter, FL 33458
561-500-3277

View Location

4 Locations to Serve You!

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Privacy Policy

© Palm Beach Heating Associates, PLLC. All rights reserved. Powered by AuDSEO

Privacy Policy
  • Home
  • About Us
    • ← Back
    • Our Team
    • Reviews
  • Hearing Aids
    • ← Back
    • Guide to Hearing Aids
    • Oticon
    • Phonak
    • ReSound
    • Rexton
    • Signia
    • Starkey
    • Unitron
    • Widex
    • Bluetooth
  • Services
    • ← Back
    • Hearing Tests
    • Hearing Aid Evaluation
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Earmolds and Earplugs
    • Musician Ear Plugs And Monitors
    • Pediatric Audiology
    • Tinnitus Treatment
  • Hearing Resources
    • ← Back
    • How Hearing Works
    • Hearing Loss FAQs
    • Hearing Protection
    • CaptionCall
    • Blog
  • Patient Info
    • ← Back
    • Forms
    • Care Credit
    • Wells Fargo Financing
  • Contact Us
    • ← Back
    • Boynton Beach
    • Jupiter
    • Palm Beach Gardens
    • Wellington
  • Home
  • About Us
    • ← Back
    • Our Team
    • Reviews
  • Hearing Aids
    • ← Back
    • Guide to Hearing Aids
    • Oticon
    • Phonak
    • ReSound
    • Rexton
    • Signia
    • Starkey
    • Unitron
    • Widex
    • Bluetooth
  • Services
    • ← Back
    • Hearing Tests
    • Hearing Aid Evaluation
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Earmolds and Earplugs
    • Musician Ear Plugs And Monitors
    • Pediatric Audiology
    • Tinnitus Treatment
  • Hearing Resources
    • ← Back
    • How Hearing Works
    • Hearing Loss FAQs
    • Hearing Protection
    • CaptionCall
    • Blog
  • Patient Info
    • ← Back
    • Forms
    • Care Credit
    • Wells Fargo Financing
  • Contact Us
    • ← Back
    • Boynton Beach
    • Jupiter
    • Palm Beach Gardens
    • Wellington