Download Center
Patient Forms
Treatment Paperwork
Please complete these forms before your visit.
Choose the paperwork for your appointment type.
Balance Evaluation and Instructions - adults and children over age five with dizziness, vertigo, poor balance, risk of falling, vestibular migraines and motion intolerance
Audiological (Hearing) Evaluation - adults and children over age 5
- If you currently wearing hearing aids please complete Profile of Hearing Aid Benefit along with the Audiological Evaluation form.
Lyric Evaluation - patients considering the Lyric Extended Wear Hearing Device
Tinnitus Evaluation - patients with ringing/roaring in the ears or other head noises
Pediatric Audiological (Hearing) Evaluation - children under age 5
Pediatric Vestibular Eval uation - children under age 5 with dizziness, vertigo, migraine, poor balance, visual-spatial problems
Newborn Evaluation and Testing
Information
General Information About the Institute
Information About Inner Ear Disorders, Vertigo and Balance
Provider Form
Brochure
Dizziness and Balance Disorders
