720-446-2828

200 Union Boulevard, Suite 421, Lakewood, CO 80228
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Your Source for Hearing Rehabilitation Excellence

Patient Forms

We look forward to meeting you and working with you! 

Please print and complete the Patient Information and Hearing Health History prior to your initial appointment at Mile High Hearing. 

 

A Medical Record Release form is available if you need records transferred to our office from a previous provider or previous practice.

 

Your privacy is very important to us. Please make sure to carefully review the Notice of Privacy Practices.