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Patient Forms

Patient Forms


“Familiar Voice” – Why we ask you to bring one with you to your appointment.

-Debbie Page
Scheduling Coordinator


Please fill out the forms and bring them with you to your appointment -OR- you can upload them and send them to us. See directions below.

• Patient Information Form

• Patient Information Form (Word Format)

Companion Questionnaire

Health Insurance Portability & Accountability Act (HIPAA) Policy

Click the form you wish to fill out. Be sure to SAVE it to your computer BEFORE filling it out. Once saved to your computer, locate the file and open it. Fill out the details, and SAVE it to your desktop. Then click CHOOSE FILE below, locate the saved file, and then Submit the form. Please be sure to fill out your email before you submit. Thank you!

  • We need this in case we have a problem with the form and we need to contact you about it.
  • This field is for validation purposes and should be left unchanged.
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© Copyright 2014 Treasure Valley Hearing & Balance. All Rights Reserved.

Boise      Nampa      Unity Health Center, Meridian      
1084 N Cole Rd       1463 Caldwell Blvd           745 S. Progress Ave.          
Boise, ID 83704       Nampa, ID 83651       Meridian, ID 83642      

HIPAA Statement