Newmarket

Aurora

Newmarket

(905) 953-9991

Aurora

(905) 841-2850

Newmarket

(905) 953-9991

Aurora

(905) 841-2850

Patient Forms

Downloadable Patient Forms for Your Convenience

Preparing for your appointment at York Hearing Clinic is now easier than ever.

To help streamline your visit and ensure we have all the necessary information, we’ve provided downloadable PDF versions of our patient forms.

You can easily download and complete these forms at your convenience before your appointment.

Download Forms

Patient Forms

Downloadable Patient Forms for Your Convenience

Preparing for your appointment at York Hearing Clinic is now easier than ever.

To help streamline your visit and ensure we have all the necessary information, we’ve provided downloadable PDF versions of our patient forms.

You can easily download and complete these forms at your convenience before your appointment.

Download Forms

Patient Forms

Downloadable Patient Forms for Your Convenience

Preparing for your appointment at York Hearing Clinic is now easier than ever.

To help streamline your visit and ensure we have all the necessary information, we’ve provided downloadable PDF versions of our patient forms.

You can easily download and complete these forms at your convenience before your appointment.

Download Forms

Patient Intake Form

This essential form gathers your personal, medical and insurance information, enabling us to provide you with the best care possible.

Download

Hearing Health Assessment Form

If you are visiting us for the first time, please download and fill out our Hearing Health Assessment form. This comprehensive form helps us understand your hearing health history and any specific concerns you may have.

Download

Earwax Removal Form

If your appointment involves earwax removal, this form will guide you through the process and ensure you are prepared for the procedure.

Download

woman lying on white flooring holding grapes beside apple fruits

How to Use the Forms

Download

Click on the links provided to download the forms.

Print

After downloading, print out the forms.

Complete

Fill in the required information on each form.

Bring to Your Appointment

Remember to bring the completed forms with you to your appointment at York Hearing Clinic.

Connect with Our Hearing Experts

We recommend completing these forms ahead of time to minimize wait times and make your visit more efficient. If you have any questions or need assistance with the forms, please do not hesitate to contact us at York Hearing Clinic. Our team is ready to assist you.

We look forward to seeing you and are committed to providing you with exceptional hearing care. Thank you for choosing York Hearing Clinic for your hearing health needs!

Newmarket

Aurora

Meet Your Team

Our caring team is here to guide you through every step of your hearing journey. From assessments to advanced technology, we provide expert support and compassionate care, ensuring you feel comfortable, confident, and heard.

Mike Foulis, H.I.S.
Owner & Hearing Instrument Specialist
Jamie Savage
Clinic Coordinator / Administrative Assistant
Niloofar Abravani, H.I.S.
Hearing Instrument Specialist
Kristina Moniz
Clinic Coordinator / Office Manager

Meet Your Team

Mike Foulis, H.I.S.
Owner & Hearing Instrument Specialist
Jamie Savage
Clinic Coordinator / Administrative Assistant
Niloofar Abravani, H.I.S.
Hearing Instrument Specialist
Kristina Moniz
Clinic Coordinator / Office Manager

Meet Your Team

Mike Foulis, H.I.S.
Owner & Hearing Instrument Specialist
Jamie Savage
Clinic Coordinator / Administrative Assistant
Niloofar Abravani, H.I.S.
Hearing Instrument Specialist
Kristina Moniz
Clinic Coordinator / Office Manager

Your Hearing Health Resources

Our greatest proof of success comes from the people we serve. Hear directly from patients across York Region who have trusted us with their hearing health and experienced the difference personalized care can make.

A Thanksgiving Message from Our Family to Yours

Thanksgiving is one of those times that makes you stop and think about what really matters. For some of us, it’s family. For others, it’s health, friends, or even that first cup of coffee in the morning.