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.

Intake Form (PDF)

Adult Case History (PDF)

Pediatric Case History (PDF)

Financial Policy (PDF)

HIPAA Privacy Notice (PDF)

Industrial Employee Questionnaire (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.