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San Leandro (510) 483-5422
Lafayette (925) 385-0735
Feel free to call either number to reach us!

The Future of Hearing is Here

Patient Forms

Please print, complete, and bring these forms to your appointment.

New Patient History: https://105b31079a1ba381f52e-ac2ec5114feb632a1114f20df0e72453.ssl.cf2.rackcdn.com/Intake/56cb815e-22f8-42ff-898c-60640ad286aa/Page/custom00-8521-4293-9058-edeb60f3a902/FH-New-Patient-History-2012.pdf

Future Hearing Office Policy: https://105b31079a1ba381f52e-ac2ec5114feb632a1114f20df0e72453.ssl.cf2.rackcdn.com/Intake/56cb815e-22f8-42ff-898c-60640ad286aa/Page/custom00-8521-4293-9058-edeb60f3a902/FH-Office-Policy-2012.pdf