Forms
At Sandia Hearing Aids Los Alamos, we provide a variety of customized solutions to enhance your hearing and improve your everyday experiences.
Please click on the links below to access the forms:
Patient Intake Form
You can use our Patient Intake Form to streamline and simplify your experience. By providing us with important information ahead of time, we’ll be ready to provide you with excellent care from the moment you visit Sandia Hearing Aids Los Alamos.
Adult Case History Form
Our Adult Case History Form is designed to collect detailed information about your hearing. This helps our experienced ear specialists create a personalized plan just for you.
Please note: To view and print these forms, you will need Adobe Acrobat Reader or a similar PDF viewer installed on your device.
Please let us know if you need help accessing or printing the forms; we will be happy to help you.
Thank you for choosing Sandia Hearing Aids Los Alamos. We appreciate the opportunity to serve you.
