Forms
At House of Hearing Orem, we have a selection of custom-made choices to help your hearing and enhance your daily living.
Please click on the links below to access the forms:
Patient Intake Form
You can use our Patient Intake Form for a quick start and easy experience. If you give us the key info early, we’re all set to give you top care as soon as you walk into House of Hearing Orem.
Adult Case History Form
Our Adult Case History Form is set up to get all the facts on your hearing. This helps our skilled ear pros shape the right plan just for you.
Please note: For seeing and printing these sheets, make sure you’ve got Adobe Acrobat Reader or another PDF program on your tool.
Got problems getting to or printing the sheets? Just tell us; we’re ready to give a hand.
Thanks for picking House of Hearing Orem. We’re thankful for the chance to help you out.