Patient Forms

Find your appointment type below, click on it, and fill out the forms prior to your appointment day.

Hearing Test – Child

Hearing Test – Adult

(18 to 49 years old)

Hearing Test – Adult

(50+ years old)

Tinnitus Consultation

Cerumen Consultation & Wax Removal

Annual Hearing Test

(Previous Test at Echo Audiology)

For all patients and appointments, please fill out this additional form the day prior to your appointment (not before).

COVID-19 Screening

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CASLPO Registered

CASLPO Registered Audiologist

Nationally Certified

Nationally Certified Audiologist

Medical Referrals Are Not Required to Schedule an Appointment.

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373 Vantage Drive, Unit 1, Orléans, ON, K4A 3W2

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P 613-841-3033

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