Audiologist Patient Forms in San Tan Valley, Sun Lakes, Fountain Hills & Maricopa, AZ

We Welcome New Patients

To save time during your initial visit to Priority Hearing & Tinnitus, please take a moment to download, print fill out the new patient forms below. Your completed forms cannot be submitted online. Please bring the completed forms with you to your appointment – we can’t wait to meet you!

• Case History Form (Online Submission Not Available – Please Print)
• HIPAA Consent Form (Online Submission Not Available – Please Print)
• Patient Information Form (Online Submission Not Available – Please Print)
• Self Assessment Questionnaire Form (Online Submission Not Available – Please Print)
• Tinnitus Questionnaire (Online Submission Not Available – Please Print)