Forms & Financing Options
We look forward to being a part of your hearing healthcare. To ensure our providers have the necessary information to provide a comprehensive diagnosis and care plan, please be sure your paperwork is completed prior to arrival.
If you are experiencing tinnitus please complete the follow form as well.
Tinnitus Reaction Questionnaire
Please review and acknowledge our office policies.
Please call our office for assistance or with any questions.
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
Financing options are available. Please contact our clinic for more information.
Insurance
In many cases your insurance will cover the cost of your hearing evaluation and some even cover the cost or a portion of the cost of hearing aids. Our professionals are approved providers for many insurance companies and we can bill them directly on your behalf.
We also accept all major credit cards and work with several organizations to assist with your cost.
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: 605-878-3016
Additional Programs
Need assistance paying for your hearing device? We have several options available to help meet your needs. Please ask us for more information.