Austin Hearing Services Downloadable Patient Intake Forms

Better Hearing Center of Austin

Downloadable Links to our Patient Intake Forms

Schedule an appointment and Complete these Patient intake forms including Hippa and Financial agreement forms


Click Link Below

Patient Intake Form 6282016

Schedule a Tinnitus Evaluation and complete these three forms and the above intake form


Click Link Below

Tinnitus Handicap Inventory


Click Link Below

Tinnitus functional Intake forms


Click Link Below

Tinnitus UCSF

Request your Medical Record


Click Link Below

Medical Release

Upon Completion of these forms please bring them into our office

or Email them to HearingAustin@gmail.com

Or Fax them into : (512) 687-1123