New Patient Forms

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When you come into a Concept by Iowa Hearing Aid Centers clinic for the first time, we will ask you to fill out several forms, including those below (our Privacy Policy, your Preferred Listening Environments, and the Patient Questionnaire). We will need you to fill out your HIPAA paperwork in person and may have other forms for you to read and review, depending on how your appointment progresses. When you fill out these forms, they will send directly to us upon submission, and we will have them on file in advance of your appointment. This will save you time, and help us prepare your hearing health expert for your appointment.

If you are filling out these forms and do not have an appointment already scheduled, please be sure to also request a hearing screening. Once you submit your request, you will be contacted by Concept staff and scheduled for your appointment within two business hours.

If you have any questions regarding the below, please feel free to call us at (800) 792-9564. Any of our friendly staff who answer the phone will be able to help you.

We look forward to seeing you soon!