Patient Forms

Please print documnents 1 & 2, and fill them out prior to your first appointment. Print and complete document 3 if you experience tinnitus, or ringing/buzzing in the ears. Completing these forms prior to your appointment will help to streamline your appointment. If you would like to read a copy of the AAOL Privacy Notice, it can also be printed by selecting the last link. Thank you.

1303-B River Valley Blvd.  Lancaster, OH 43130  |  Phone: 740-654-3571  |  Fax: 740-689-3277

©2020 Audiology Associates of Lancaster, LLC

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