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 New Patient Form Your Hearing Concerns Insurance Form 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 →

Eating Out With a Hearing Loss

One of the more challenging listening situations for individuals with a hearing loss is trying to communicate in a restaurant.  Even the most elegant restaurants tend to be on the noisy side.  Numerous conversations are going on all around you, dishes and silverware are constantly clanging and music is playing in the background.  And being […]

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Why Should You Care About Wearing Hearing Protection?

When you don’t protect your ears from the ravages of sounds that are too loud you can cause hearing loss.  Hearing loss caused as a result of exposure to loud sounds is called a noise induced hearing loss or NIHL.  NIHL can be immediate or it can take a long time to be noticeable. It […]

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The Heart, Hearing Health Connection

February is National Heart Month. Heart disease is the leading cause of death for men and women in the United States.  Every year, 1 in 4 deaths are caused by heart disease. But did you know that there’s a connection between your heart and the health of your hearing? The Heart and Hearing Health Connection […]

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Incidence and Consequences of Hearing Loss

Incidence of Hearing Loss Approximately 36 million Americans have hearing loss. From the National Institute of Health The percentage of adults with a disabling hearing loss increases with age: 2 percent of adults aged 45 to 54 have disabling hearing loss. 8.5 percent of adults aged 55 to 64 have disabling hearing loss. 25 percent […]

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194 Main Street Unadilla, New York 13849

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Unadilla, New York - (607) 369-3802

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