Echo Audiology takes pride in providing you with a great experience.

Patient Forms

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

If you are filling out the form on behalf of a Patient (ex: Parent filling out the form for a Child), please make sure to use the Patient’s name and information to fill out the form, not your own. This will help us find the form once you submit it.

Instructions for your Appointment
(As per COVID-19 Protocols)

  • Arrive no more than 5 minutes prior to your appointment, unless you have been instructed otherwise by our team.
  • Wear a mask before entering the clinic.
  • Use the hand sanitizer immediately when you enter the clinic.
  • If your footwear is dirty or wet, use the shoe covers at the entrance to help us keep the clinic clean.
  • Come alone to your appointment if possible
  • If you must come with an accompanying person, please only bring one person with you. (Ex: Only one Parent to come with a Child).

The Patient must also complete the COVID-19 Screening the day prior to their appointment (not before).
If there is an accompanying person, this person must also complete the screening. Please use the form below to do so. There will be a section for the accompanying person if required.

Physician forms

A medical referral is not required to book an appointment at our clinic. However, we do have a form that can easily be used to refer Patients, which lists all of ours services. If you are wanting to refer a Patient using our Referral Form, feel free to select the link below to download it.

Looking For A 2nd Opinion? We Offer 2nd Opinion Consultations For Hearing Aids, For Tinnitus And For Any Ear Or Hearing Related Concerns.

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