Patient Intake Form
This essential form gathers your personal, medical and insurance information, enabling us to provide you with the best care possible.
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.
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.
How to Use the Forms
Download
Click on the links provided to download the forms.
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!
