We have provided the following forms for you download and complete before your appointment. Once completed please fax these forms to our office (704) 523-8031 or email to . All patients are responsible for contacting our office beforehand to confirm that we have received your forms via fax or email.

If we do not receive your transmission you will have to complete these forms the day of your appointment. All new patients will need to allow and extra 15 minutes for this process.

Thank you for choosing Charlotte Speech and Hearing Center!

  Adobe Acrobat is Required to download forms

• Hearing Services Bank Application
  
  
• Patient Information Form
  
  
• Patient Consent Forms
  
  
• Child Case History Forms