918-995-2333

Patient Forms

Thank you for choosing The Hearing Doctor!

Below you will find the forms needed for your visit, please fill the forms out to the best of your ability! You can print them out and bring them in for your visit – if you do not have the ability to fill these forms out before your visit please arrive 15 minutes ahead of your scheduled visit, thank you!

Patients 18 years of age and older – please fill out the Adult History Form
Patients 6 to 17 years of age – please fill out the Children/Teen Intake Form
Patients 3 months to 5 years of age – please fill out the Pediatric Intake Form
Patients 0 months to 3 months of age – please fill out the Newborn

Appointment Policy

Adult History Form

Children/Teen Intake Form

Pediatric Intake Form

Newborn Screening Form

*HIPAA and Insurance related paperwork must be filled out in office – we apologize for any inconvenience.