Patient Forms

For your convenience, the following forms will assist us in spending qaulity time with you during your visit with us. Columbine Audiology and Hearing Aid Center forms can be downloaded, printed and completed at your convenience.

Please make sure you complete all forms and bring them with you on the day of your visit.

New Patient Form – Adult
New Patient Form – Child
Needs Assessment Questionnaire
Tinnitus Handicap Inventory Form
Hearing Handicap Inventory Form

You’ll need Adobe Acrobat Reader to download the patient orientation forms. If you don’t have Adobe Reader, you may download it for free below.

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