In order to properly diagnose and treat patients, the staff at AAI will need information regarding your medical history, family history, current and past symptoms/medical issues and medical insurance. Patients will be asked to fill out a series of forms to provide this information.

For your convenience, forms are provided on this page, below, in PDF format.

PDF documents are easily downloaded to any computer (PC or MAC) and can be filled in by using a computer, or they can be printed out and filled in by hand.

Please bring these completed forms to your first appointment.

First time patients without completed forms:

Please arrive 30 minutes before your scheduled appointment.

First time patients with completed forms:

Please arrive 10 minutes before your scheduled appointment.

Please bring proof of current medical insurance


New Patient Forms
Please complete these forms and provide them to the front desk staff upon arrival for your first appointment.

*You must have Adobe® Reader installed on your computer to download these forms. Adobe Reader is FREE and can be downloaded by visiting the Adobe Reader download page.



Patient Info English Patient Info Spanish
Patient History English Patient History Spanish
HIPPA form English HIPPA form Spanish


Patients with questions regarding forms should call the AAI office or simply bring the forms to their first appointment and arrive a few minutes earlier than suggested above.

Additional help
The success of AAI depends on the happiness and quality of life that better hearing provides. Please feel free to call the office with any questions, requests, needs or health problems.

When needed, a doctor will return your call promptly.

Referrals
Advanced Audiology Institute wants to be the standard of excellence in Las Vegas hearing and balance treatment. If you feel the services offered at AAI could benefit a friend or relative, please give them a referral card. All new patients referred to AAI by a current patient will receive a special offer at their first visit. Current patients who refer a new patient will receive a special thank you. Please ask the front desk attendant or your AAI audiologist for details.

New Patients

Insurance

Financing

Hearing Aid Warranties

 
Advanced Audiology Institute - Professioanl Hearing Aids and Hearing Services
©2010, Advanced Audiology Institute
 
DISCLAIMER: This site is designed for use by patients, qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for general informational purposes only. In no way should it be considered an offering of medical advice.