Financial Policy, Ownership and Disclosure Form
OHC Pediatric Case History Form
For new patients under 18 years old, please complete this questionnaire which describes birth history, including speech and hearing problems experienced by the child. Please note pregnancy history, birth development and previous hearing loss treatment.
OHC Adult Case History Form
Coming to see us for treatment of hearing loss? This form is required for all new patients 18 years and older. Please complete all questions including current medications, hearing history & symptoms. Thank you!