Forms
For clients and medical facilities
Audiogram Questionnaire
This is intended to be used by new and existing CHH clients. Please have the forms completed prior to your upcoming scheduled on-site audiometric testing.
Download File
Clinic Audiogram
This is intended to be used by a medical facility. It needs to be fully completed (demographic info, questionnaire and hearing test results) and should be forwarded to Center for Hearing Health.
Download File