Forms & Finance Options

New Patient Form

If you’ll be visiting our Professional Hearing Services  as a new patient we have a new patient form we’ll need filled out. If you’d like to expedite your appointment you can print the form and fill it out in advance. Please feel free to give us a call if you have any questions.  You will need Adobe Acrobat Reader to open this form. You can download it for free here.

Finance Options

Wells Fargo
We offer Wells Fargo Health Advantage Credit financing options. Benefits include special payment plans allowing you to pay over time, quick in-office or online application, easy to understand monthly statements and the ability to pay online.12 and 18 month no interest plans are available.


In many cases your insurance will cover the cost of your hearing assessment and some even cover the cost of hearing aids. Our audiologist, Dr. Todd Decker is an approved provider for many insurance companies and we can bill them directly on your behalf.

We also accept all major credit cards and gift certificates are available.

Our Patient Financial Coordinator is dedicated to answering any of your questions about insurance and your other financial options. Please feel free to give us a call.