New Patient Forms

Please fill in the forms by clicking on the links below. If you have Adobe PDF, you may be able to fill out the forms online. Please print the forms, sign them, and then bring them with you to your appointment.

Patient – ADULT Form

Patient – PEDIATRIC Form


Flexible Financing Available

If you can not afford the full cost of your hearing aids, you may be eligible for financing! Advanced Hearing Group has partnered with CareCredit to bring you flexible financing options you can use toward your next hearing aid purchase. For more information and to see if you qualify, Click Here.

Referral Form For Your Doctor

Please click the link below to open the form. Print the form and bring to your doctor to fill out.

Patient Referral Form