Please complete the forms online prior to your appointment. Please read our Notice of Privacy Practices here.
For NEW patients:
Basic Medical History
Listening and Lifestyle Needs
Cerumen Removal Consent
HIPAA Form
For RETURNING patients:
Lesner Hearing Center is now Blossom Hearing Center! Click Here to Read More →
Please complete the forms online prior to your appointment. Please read our Notice of Privacy Practices here.
For NEW patients:
Basic Medical History
Listening and Lifestyle Needs
Cerumen Removal Consent
HIPAA Form
For RETURNING patients: