Downloadable forms from Champlain Valley Audiology
You may complete the new patient paperwork before your appointment and bring them with you or fax them to (518) 324-5726, or scan them to firstname.lastname@example.org. Please plan to arrive at least 15 minutes prior to your appointment to review any other necessary New Patient information.
- For adult hearing testing: Adult Patient Forms
- For pediatric hearing testing: Child Patient Forms
- For tinnitus concerns: Adult Forms and Tinnitus Patient Forms
- For hearing aid evaluation: Adult or Child Forms and Companion Questionnaire