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

Newmarket: (905) 953-9991

(905) 953-9991

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!