JayseeOwner, HAS
ToniHAS
GraceFront desk
FrancescaFront deskPatient forms in English and Spanish
Download our new patient intake form and our HIPAA privacy form in English or Spanish. Filling them in before your visit and bringing them with you saves time at the start of your appointment.
What to bring to your visit
Bringing these with you helps us get your visit started.
- Your insurance card
- A list of the medications you take
- Any hearing aids you already own, and their charger
- Your completed intake and privacy forms
Returning your forms
- Fax them to (407) 604-6692Send your completed forms to our office fax.
- Or bring them with you715 Douglas Ave, Suite 45, Altamonte Springs, FL 32714. Inside the One Senior Place building, just north of Central Parkway.
Not booked yet?
We offer complimentary hearing evaluations in our office. Choose a time online, or call 407-949-6737 to book.