Forms

Notice of Privacy Practices

Download notice_of_privacy_policy_and_procedures.doc

JC Audiology values our patients' trust and confidentiality.  The above link contains our Privacy Policy and Procedures.  Patients are requested to please confirm that you have read this document before treatment, and sign the acknowledgement form on the link below.

Download acknowledgement_of_receipt_of_notice.doc

March 12, 2007 in Forms | Permalink

Patient Information Form

Download patient_information.doc

Click on the link above to view our Patient Information form, which you can fill out at home instead of in our waiting room before your appointment.

March 12, 2007 in Forms | Permalink