• Hearing Loss
    • Improve Your Hearing
    • 9 Hearing Loss Myths
    • Dizzienss & Ringing in Your Ears
    • Help a Loved One
    • Prevent Hearing Loss
  • Hearing Aids
    • Types of Hearing Aids
    • Hearing Aid Brands
    • Batteries and Accessories
  • Services
    • Hearing Test
    • Annual Hearing Test
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Hearing Protection
    • Balance Testing
    • Tinnitus Management
    • Ear Wax Removal
  • About Us
  • Contact
    • Patient Forms
  • Hearing Loss
    • Improve Your Hearing
    • 9 Hearing Loss Myths
    • Dizzienss & Ringing in Your Ears
    • Help a Loved One
    • Prevent Hearing Loss
  • Hearing Aids
    • Types of Hearing Aids
    • Hearing Aid Brands
    • Batteries and Accessories
  • Services
    • Hearing Test
    • Annual Hearing Test
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Hearing Protection
    • Balance Testing
    • Tinnitus Management
    • Ear Wax Removal
  • About Us
  • Contact
    • Patient Forms
Kankakee: 815 939 2024
Steger: 708 756 1767

Patient Forms

Please download, print, and fill out the form(s) below for your next appointment

  • Patient Registration
  • Insurance Registration
  • Patient Profile
  • Hearing Handicap Inventory Screening Questionnaire for Adults
  • Instructions for Balance/Vestibular Testing

Start Your Journey To Better Hearing Today

Contact Us Today
Book Your Appointment Today

Kankakee, IL

1455 W. Court St.
Kankakee, IL 60901

815 939 2024

Mon & Wed: 9am-4:30pm (Staff only)
Tue & Thu: 8:30am-5pm (Doctor sees patients)
Fri: 9am-1pm (Staff only)
Fri: 2pm-5pm (Doctor sees patients)
Closed for lunch 12pm-1pm


Steger, IL

29 West 34th St.
Steger, IL 60475

708 756 1767

Mon & Wed: 8:30am-5pm (Doctor sees patients)
Tue & Thu: 9am-4:30pm (Staff only)
Fri: 8:30am-12pm (Doctor sees patients)
Fri: 1pm-4:30pm (Staff only)
Closed for lunch 12pm-1pm


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