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! Read more here →
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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: