Patient Forms

To prepare for your first visit at Second Chance Hearing Inc, please complete the patient forms below and bring them to your appointment. Please download the form, then print it out to complete it and bring it to your appointment. You’re also welcome to complete this form in-office by simply arriving 15 minutes before your scheduled appointment time.
You can also easily upload your completed Patient Intake form on our Contact Us page by using the contact form.

The team at Second Chance Hearing Inc is here for you.