Talk With A Hearing Professional Now!

Call us at 850-553-4327


Saturday , June , 22 2024
You are here : Patient Area  >  Patient Forms


We want your entire experience to be pleasant, informative, and enhanced by our world class service. We recommend coming to your appointment 5-10 minutes early to complete necessary paperwork. You can also print and fill out the Patient Form before coming in, you can download the forms below.

At your appointment:  We will take your case history, perform an audiological evaluation, and have a discussion of the results. If hearing devices are an appropriate treatment, you will have the opportunity to be educated on the wide variety of options available. Most of our patients find it helpful to bring a spouse, friend, or family member to this appointment. We encourage you to do so!

Our mission is to give you KNOWLEDGE about your hearing needs and treatments that work for your lifestyle. With attention to the highest standard of ETHICS you can be confident that we will serve you in an honest, caring, and attentive manner. Visits to our office can include audiology services such as hearing evaluations and treatments for hearing loss. In order to assure your confidence, Hearing & Balance Associates only represents leading manufacturers with current hearing technology. Our reputation for EXCELLENCE is set forth by utilizing only state-of-the-art assessment equipment and technology.

You can download the forms below:

  • ***ADULT Audiogram/Hearing Evaluation Form (with health insurance coverage)DOWNLOAD HERE
  • CHILD Audiogram/Hearing Evaluation Form (for patients between 1 - 16 years old)DOWNLOAD HERE
  • LEON COUNTY SCHOOL/Hearing Evaluation Form (with LEON COUNTY SCHOOL referrals)DOWNLOAD HERE

*** Please call our office ahead of time to discuss health insurance coverage, copay, self-pay option, out of network health insurance.