Forms

At House of Hearing Orem, we have a selection of custom-made choices to help your hearing and enhance your daily living.

Sharon Christensen
Sharon Christensen
2024-01-29
Brenda was so kind and helped me hear so much better. I highly recommend them for your hearing problems.
Judith Turner
Judith Turner
2024-01-19
House of Hearing in Orem, Utah is a great place to go if you are hearing challenged. Brenda Devereaux in Orem is excellent! — Mike, in Heber , is also very helpful. Thanks for all you do!
Wolf Muelleck
Wolf Muelleck
2024-01-17
Brenda is quite pleasant and adjusted my Oticon aid so I can hear better. And she was able to answer my questions on the hearing test and related hearing issues I was experiencing.
Bruce Lamb
Bruce Lamb
2024-01-02
They were very helpful and very kind
Charles Moran
Charles Moran
2024-01-02
Awesome people. Always solves any problem. Highly recommend
Betty Argyle
Betty Argyle
2023-12-28
Brenda is very easy to talk to. She addresses all your concerns and answers all of your questions. She makes sure you are satisfied with your hearing aids. She goes above and beyond.
Lauren Kearl
Lauren Kearl
2023-12-07
My mom lost her hearing aid charger right before thanksgiving. The house of hearing was extremely helpful in getting her a new charger so quickly so she was able to enjoy the holidays. We had never been to them before, but we will be going to them for her hearing needs moving forward!
Shirley Harrison
Shirley Harrison
2023-12-07
Very informative
peggy johns
peggy johns
2023-12-06
They are the best!! I recommend them to all I meet!!!
Dougspad Robison
Dougspad Robison
2023-11-30
Fast and efficient

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.