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150 N Main St #108, Heber City, UT 84032

Forms

At House of Hearing Heber City, we provide a variety of tailored options to support your hearing needs and improve your everyday life.

Please click on the links below to access the forms:

Patient Intake Form

Feel free to use our Patient Intake Form to get started quickly and ensure a smooth experience. By providing essential information in advance, you enable us to offer you excellent care from the moment you step into House of Hearing Heber City.

Adult Case History Form

Our Adult Case History Form is designed to gather all the necessary details about your hearing. This valuable information allows our experienced ear professionals to create a customized plan tailored specifically to your needs.

Please note: To view and print these forms, you will need Adobe Acrobat Reader or a similar PDF viewer installed on your device.

Please let us know if you need help accessing or printing the forms; we will be happy to help you.

Thank you for choosing House of Hearing Heber City. We appreciate the opportunity to serve you.

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