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PATIENT FORMS

Please take the time to download, print and fill out the following before your first office visit.

Intake Form

Intake Questionnaire

Privacy Statement

"Great customer service, quality products and affordability."
"That's my Amplisound experience"

Will P.
Nuance Micro BTE user

"I can't say enough about the service, quality and price that you get at Amplisound."
"They are polite, friendly and knowledgeable. Thanks for bringing me back to a place that I can hear the 'real' world again."

Kim M.
Wears a pair of Lynx CICs

"I Love to Hear"
"My new hearing aid is a world of difference from my previous technology"

Ted L.
Digital Nuance User

"So Glad I Found Amplisound!"
"It was amazing how much I was missing before, now everything sounds so much more clear."

Joyce D.
Nuance Micro BTE user

Why wait? You don’t have to live with hearing loss.

Call Us Today

Why wait? You don’t have to live with hearing loss.

Call Us Today