Call Us For An Appointment Today! | Kalamazoo 269.343.2601 or Portage 269.372.2709

New Patient Paperwork

New Patient Paperwork

For your convenience, New Patient Paperwork will be mailed to you prior to your appointment. Remember to bring the completed forms with you for a timely check in process. Duplicate blank forms are found below if needed.

CBHC Intake Form (PDF)

Adult Case History (PDF)

Pediatric Case History (PDF)

Financial Policy (PDF)

HIPAA Privacy Notice (PDF)

 
Timing Your Appointment

Thank you for choosing Constance Brown Hearing Center for your hearing healthcare needs.

To ensure an efficient visit to Constance Brown Hearing Centers, please allow yourself time to arrive 15 minutes prior to your scheduled appointment.  Appointments are made according to the amount of time the staff anticipates that each patient will need.

Arriving extremely early may cause an extended wait time as other patients will be seen at their scheduled appointment times first.  If you arrive late, we will make every effort to see you but you may be asked to reschedule.

 

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Our Mission

The mission of Constance Brown Hearing Centers is to be the most trusted source providing state-of-the-art technology to improve hearing for all.

 
Hearing aids have meant everything to me. I can hear much better and enjoy having a conversation with others. A new world has opened up to me because I can hear what others are saying.

— Vivian R. Portage, MI
I chose Constance Brown Hearing Center because of its reputation as an ethical center to have my hearing tested. My recent experience confirmed my expectations.

— Sandra O., South Haven, MI
Our mother is now able to hear birds, conversations, and communicate with friends and family. Your help is appreciated.

—Jerry M. Augusta, MI
Constance Brown Hearing Centers offers convenient locations that are easy to access and handicap accessible. I have no complaints about the service I received!”

— Betsy B. Kalamazoo, MI
I would like to let you know how much hearing aids have changed my life. Since being fitted with a hearing aid, I can hear sounds that I have not heard in years. Thank you so much I am very grateful.”

— Velma K. Paw Paw, MI

 
A Blog in the Ear
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Today’s digital hearing aids do a tremendous job of improving hearing but ther…