Patient Forms

Before attending your first appointment with us, it will save time during the appointment if you can print off the Patient registration from using the button below, fill it out, and bring it with you.

Request a Callback

It’s often the small things that hold us back.

If you have a question, a concern or require some no-obligation advice, then please complete this form and we’ll call you back for a friendly and helpful conversation.

We’ll be able to answer your questions, offer advice and help you or a loved one on your hearing loss journey.

Remember, we’re here to help. There’s no such thing as a silly question.

3869 Dougall Ave, Windsor ON, N9G 1X3

Request a Callback

It’s often the small things that hold us back.

If you have a question, a concern or require some no-obligation advice, then please complete this form and we’ll call you back for a friendly and helpful conversation.

We’ll be able to answer your questions, offer advice and help you or a loved one on your hearing loss journey.

Remember, we’re here to help. There’s no such thing as a silly question.

3869 Dougall Ave, Windsor ON, N9G 1X3

Request a Callback

It’s often the small things that hold us back.

If you have a question, a concern or require some no-obligation advice, then please complete this form and we’ll call you back for a friendly and helpful conversation.

We’ll be able to answer your questions, offer advice and help you or a loved one on your hearing loss journey.

Remember, we’re here to help. There’s no such thing as a silly question.

3869 Dougall Ave, Windsor ON, N9G 1X3

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