Skip to content

We will be complying with all CDC guidelines.

Search Locations Contact Close Menu Close
F1EE6F59-CEDA-4DE3-9652-8B60B8B8FF58 Created with sketchtool.
Request an Appointment

Aberdeen

CALL our Aberdeen office at (360) 533-0633

Willapa Harbor

Call our Willapa Harbor office at (360) 208-2373
  • Our Practice
    • About Us
    • Newsletters
    • Patient Forms
    • HIPAA Statement
    • What is an Audiologist?
  • Hearing
    • Hearing Aids
      • Assistive Listening Devices
      • Choosing a Hearing Aid
      • Hearing Aid Accessories
      • Hearing Aid Batteries
      • Hearing Aid Financing
      • Hearing Aid Fitting & Counseling
      • Hearing Aid Service & Repairs
      • Hearing Aid Types
      • Hearing Aid Technologies
      • Over The Counter Hearing Aids
    • Hearing Loss
      • Communication Strategies
      • Hearing Loss & Dementia
      • Hearing Loss Causes
      • Hearing Loss FAQ
      • Hearing Loss Prevention
      • Hearing Protection
      • Hearing Tests
      • Single Side Deafness
      • Surgical Procedures for Hearing
      • Pediatric Hearing Loss
      • Pediatric Hearing Evaluations
      • Types of Hearing Loss
  • Implantable Devices
    • Cochlear Implant
    • Cochlear Implant Mapping
    • BAHA
  • Services
    • Hearing Aid Batteries
    • Hearing Aid Dispensing and Fitting
    • Custom Earmolds
    • Custom Earplugs
    • Comprehensive Hearing Evaluations (Hearing Tests)
    • Hearing Aid Service & Repairs
    • In Office Services
    • Ototoxicity Monitoring for Chemotherapy Patients
    • Pediatrics: Hearing Loss in Children
    • Tympanometry
    • Earwax Removal
  • Balance & Tinnitus
    • Balance
      • Balance Disorders
      • BPPV
      • Dizziness & Balance
      • Meniere’s Disease
      • Vertigo
    • Tinnitus
      • Tinnitus Overview
      • Tinnitus Facts
  • Contact
Aberdeen (360) 533-0633 Willapa Harbor (360) 208-2373

Patient Forms

Home > Our Practice > Patient Forms
Posted on July 3, 2018 by West Coast Hearing Clinic

Please find our patient forms for you to print out and complete prior to your scheduled appointment.

Patient Registration
Adult History Questionnaire Packet
Adult History Audiological Re-Evaluation Questionnaire Packet
Child History Questionnaire Packet
Infant History Packet
Medication Documentation

    REQUEST APPOINTMENT

    Our Locations

    Aberdeen Clinic

    303 West First St
    Aberdeen, WA 98520

    Ph: Call our Aberdeen office at (360) 533-0633
    FAX: (360) 533-2541

    Willapa Harbor Hospital

    800 Alder Street
    South Bend, WA 98586

    Ph: Call our Willapa Harbor office at (360) 208-2373

    Office Hours

    Aberdeen

    Mon-Thur: 9:00am-4:00pm
    Fri: 9:00am-12:00pm

    Willapa Harbor

    Wed: 9:00am-2:00pm

    Office is open on First and Third Wednesdays by appointment only

    Connect With Us

    Quick Links

    • Home
    • About Us
    • Hearing Aids
    • Hearing Loss
    • Balance
    • Tinnitus
    • Contact
    Copyright © 2023 West Coast Hearing Clinic. All Rights Reserved.
    • Policies
    • Accessibility
    • Sitemap
    West Coast Hearing
    Varies
    303 West First Street
    Aberdeen, WA 98520
    Office:(360) 533-0633