Patient Forms

Please take the time to download, print and fill out the following before your first office visit.

Adult Case History

Child Case History

Financial Policy

Privacy and Financial Policy Disclaimer

Privacy Policy

If you are scheduling your appointment with the goal of obtaining hearing aids, please download and complete this form.

Characteristics of Amplification Tool (COAT)

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Meet the Team

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What Our Patients Say

Find out what people you may know in your community say about our services.

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Talk to the Experts

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“Outstanding Service – Very Professional And Knowledgeable Staff! Purchased first set of hearing aids recently and appreciate the help in picking out the right ones for me. Scott was extremely helpful, and knowledgeable about his products, He provided a variety of options. Staff members maintain a positive and caring attitude and provide assistance as needed. I am very happy with my new Starkey Halo aids and how they work with my iphone. I can recommend Salem Audiology without hesitation!”

testimonial Doug W., Patient