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Harbor Audiology & Hearing Services, Inc.
Phone: (253) 8513932 | Fax: (253) 851 4216
Hours: Monday Thursday 9 AM 5 PM
Friday 9 AM 4 PM
www.harboraudiology.comPATIENT (ADULT CNG) APPOINTMENT INFORMATIONPRIOR
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How to fill out harbor audiology patient form
How to fill out harbor audiology patient form
01
Gather all necessary information such as personal details, medical history, and insurance information.
02
Fill out the form accurately and legibly to ensure all information is correctly captured.
03
Review the form for any errors or missing information before submitting it to Harbor Audiology.
04
Sign and date the form to confirm your agreement with the provided information.
Who needs harbor audiology patient form?
01
Any individual who is seeking services from Harbor Audiology, such as new patients or returning patients updating their information.
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What is harbor audiology patient form?
The Harbor Audiology patient form is a document that new patients fill out to provide their personal and medical information to the audiology clinic in order to facilitate their care.
Who is required to file harbor audiology patient form?
All new patients seeking services from Harbor Audiology are required to fill out the patient form before their initial appointment.
How to fill out harbor audiology patient form?
To fill out the Harbor Audiology patient form, patients should provide accurate personal information, medical history, and any audiological concerns, either by completing it online or in person at the clinic.
What is the purpose of harbor audiology patient form?
The purpose of the Harbor Audiology patient form is to gather essential information that aids the audiologists in understanding the patient's background, medical history, and specific hearing-related issues.
What information must be reported on harbor audiology patient form?
Patients must report personal information such as name, date of birth, contact details, medical history, current medications, and details about hearing issues.
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