Patient Account
Number and Name:
Schedule an Appointment
Patient Forms
Patient Portal
Patient Education
Hearing Loss
Audiology Serivces
How We Hear
Effects of Hearing Loss
Quick Hearing Test
Hearing Aids
Our Recommendations
Hearing Information
Balance System
Meniere's Disease
Our Newsletter
Allergy Services
Surgery Procedures
About Us
Patient Testimonials
Contact Us
5-Day Allergy Report

Patient Forms

Download the forms, complete the forms in detail, print and sign. You can mail, fax (419) 289-9563 or bring the forms to your scheduled appointment. Mailing or faxing the completed and signed forms will expedite the check-in process upon arriving at our office. Thank you for your help.

The free Adobe® Acrobat® Reader allows you to view, navigate, and print PDF (Portable Document Format) files. Click Here to download Adobe Acrobat Reader.