Patient Forms

Patient Intake Form

Intake Form

Adult Case History Form

Adult Case History Form

Tinnitus & Hearing Survey

Tinnitus Hearing Survey

Hearing Handicap Inventory (HHIA)

hhia form

Fill out your paperwork before your appointment to save time!

You can download, print, and fill out the forms by hand, or you can complete them on your computer and email them to [email protected].

We look forward to serving you.

Schedule an Appointment

Need to see a full-service audiologist? We recommend you call our office to set up your first appointment. 

Habersham Medical Center Main Entrance

Demorest, GA

Our newly renovated office is located in Habersham Medical Center where the old cardiac
rehabilitation office was – on the main floor next to the birthing center.

Habersham Medical Center
541 Historic Hwy, 441 North
Demorest, GA 30535
Habersham County

Our office can be reached by calling the Habersham Medical Center at 706-839-4000, and ask for extension 4050. You can also call our direct line below: