Forms - Get The Hearing Aid Products

Affordable Hearing SolutionsAffordable Hearing Solutions makes it faster and easier for you to get the hearing aid products you need and uncover your specific needs while answering your questions. Below are some forms you can read and fill out before your appointment. Click on the links below to download them and feel free to Contact us with any questions.

Click here to download the Acknowledgement of Notice

Click here to download the HIPAA Privacy Notice

Click here to download the Patient History Form

New Smyrna Beach: 386-957-3830   •   Ormond Beach: 386-492-2980   •   Port Orange: 386-310-4861   •   Orange City: 386-960-7862