Patient Forms
In order to make the check-in process easier for our patients we offer the convenience of being able to fill out the forms online.
Patient Information
Below you will find frequently asked questions pertaining to the forms.
If you have any other questions, please do not hesitate to contact us.
PHI includes health records, health histories, lab test results, and medical bills.
It is a notice that describes how medical information about you may be used and disclosed and how you can get access to this information.
Parents and Guardians of children 0-18 years of age should fill out all sections that apply.
In order for our clinic to submit a claim to your insurance, we need to have your signature on file.
Tinnitus is something you do not need to live with, there are many management options. In order to find the most appropriate solution for you, it is vital to know your profile. The more details we have about your tinnitus the more effective your visit to Audiology Island will be.
Having your insurance information prior to your appointment, will allow us to check your benefits for coverage of services and devices, if needed.