Please download these forms to complete at home. We understand that no one likes paperwork (we don't like paperwork either). We provide the forms online to make your visit to our office a little less complicated for you. Please don't forget to bring the forms with you when you come to the office for your visit.
Print Patient History Form New Patient Registration HIPAA Release new hearing patient forms
Our Company works with industry groups to ensure that its products and services meet or exceed industry standards with respect to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Our Company’s products and services are specifically designed to include features that help our customers comply with HIPAA. Our Company uses a relational database that employs a secure login process requiring a user name and password. Our Company supports role-based access. That is, users are assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit access to data. When a user adds or modifies data within the database, a record is made that includes which data were changed, the user ID, and the date and time the changes were made. This establishes an audit trail that can be examined by authorized system administrators. Read The Entire Statement →
Our Company respects your right to privacy. We have developed this Privacy Policy to inform you of the data gathering and dissemination practices applicable to our web site. By using Our Company’s website and services you are accepting the practices described in this Privacy Policy and you agree to adhere to the Terms and Conditions posted on the Site. If you do not agree with any terms, please do not use this site or submit any personal information. Read The Entire Statement →

Can My Hearing Loss Make Me Feel Tired?

You wake up feeling refreshed and ready to go.  But by mid-day the thought of speaking to one more person leaves you feeling exhausted both physically and mentally. If this sounds like you or someone you know and you or they have untreated hearing loss, there is a very real possibility that a hearing loss is ...

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10 Things You Should Know About Hearing Aids

Everyone has questions, especially when it’s about something you know they need, but don’t really understand.  So if you know you need hearing aids or if you know someone who needs hearing aids, here’s a list 10 things you may have wondered about but didn’t  know regarding hearing aids. Who’s behind the technology in hearing ...

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Can Lyme Disease Cause Hearing Loss?

Lyme disease is an infection caused by a bacterium (a germ) that is commonly transmitted by a bite from an infected deer tick. Although April through October is considered to be prime tick season; Lyme disease can be transmitted by a tick at any time of year. Symptoms Diagnosis of Lyme disease can be difficult ...

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I Have Hyperacusis …What Does That Mean?

What is Hyperacusis? Hyperacusis is the medical term used to describe abnormal and severe discomfort caused by sounds that are tolerable to listeners with normal hearing. The sounds do not have to be loud but can be sounds that are part of the listener’s everyday environment. Signs of Hyperacusis Reduced tolerance to sound Increase sensitivity ...

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2103 S. US Highway 1 Jupiter, Fl 33477

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Jupiter, Fl - (561) 575-5552