New Patient Forms
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.
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.
We want to thank Dr. Johnson and the staff at the South Scottsdale office, for their prompt service, when I had a problem, with one of my hearing aids. They saw me within an hour of my call to their office and resolved the problem, in a few minutes. We appreciate a business that is so helpful and caring.
As a person who was just diagnosed with tinnitus and some hearing loss, I decided to see Dr. Gary Johnson and discuss if hearing aids would be beneficial to me. Dr. Johnson gave me a thorough examination and evaluation and recommended hearing aids for me to help with the hearing loss and help quiet the tinnitus. I have been wearing my new hearing aids for about 2 months now and I am so happy with them. Dr. Johnson did a wonderful job evaluating what would work for me. He is very pleasant, listens to the needs of the patient, answers all questions and makes you feel very comfortable. I have been helped with the hearing aids for both my tinnitus and hearing loss. Don’t hesitate to go see Dr. Johnson if you are in need of someone who can help with your tinnitus and hearing problems. He is the best in the business.
I had a hearing aid quit on me. I went into the Mesa location and was greeted by a pleasant young lady and was promptly helped to get my hearing aid working again. And there was no charge !!Great service and pleasant staff. What a great experience !!
Will health insurance cover my hearing aids? What about ear wax removal?
Insurance covers many hearing & audiology services
Most insurance typically covers the cost of earwax removal services, with the patient paying only their standard policy deductible. However, the cost of earwax removal is not as expensive as you might think – without going through insurance, the cost of a standard earwax removal is $95.00 for either one ear or two.
We proudly contract with the insurance companies listed below. Our list is constantly growing, so check back often to see if your company is included. Alternatively, you can call us for assistance with your plan’s coverage, or to see if we contract with your insurance.
ACN Connected Care
Aetna / ALL plans/ Banner
Arizona Care Network (ACN)
Arizona Complete Health (AHCCCS)
Allwell Commerical / AHCCCS
American Postal Workers Union (APWU)
Arizona Health Care Cost Containment (AHCCCS)
Arizona Medical Network (AMN)
AZ Complete Health Care
Banner Health Network PPO,HMO, Medicare
Banner Medicare Advantage Dual (SNP)
Banner University LTC (AHCCCS)
Banner University Family Care (AHCCCS)
Blue Cross Blue Shield / All Plans / Banner
Cigna / All Plans / Banner
Fortified Provider Network (HMN)
Great West Health
Health Choice (AHCCCS)
Health Choice Pathway (SNP)
Health Management Network (HMN)
Healthnet (All Plans)
Humana / All Plans / Banner
ICE Health Services (IHS)
Mail Handlers Benefit Plan (MHBP)
Medicare Part B
Magellan Complete Care
Mercy Care Advantage (SNP)
Mercy Care Plan (AHCCCS)
Mercy Care Group Health
Mercy Care RBHA
Mercy Maricopa Integrated
Molina Care (AHCCCS)
Molina Medicare Complete Care
Oscar Healthcare (Cigna only)
OWCP (Workers Comp.)
Refugee Medical Asst. Program (RMAP)
Southwest Services Administrators
Tricare West Region / HNFS
Triwest / VA Community Care
United Food and Commercial Workers (UFCW)
UHC AARP Medicare Complete ( Banner)
UHC Dual Complete (SNP)
UHC Community Plan (AHCCCS)
United Mine Workers Union (UMWU)
United Healthcare / All Plans / Banner
Washington State Labor of Industry