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

Aberdeen

CALL (360) 533-0633

Willapa Harbor

(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
    • 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
  • 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
Child History Questionnaire
Infant History

Get in Touch Today

Please prove you are human by selecting the House.

Our Locations

Aberdeen Clinic

303 W 1st St
Aberdeen, WA 98520
Ph: (360) 533-0633
FAX: (360) 533-2541

Willapa Harbor Hospital

800 Alder Street
South Bend, WA 98586
Ph: (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 © 2018 West Coast Hearing Clinic. All Rights Reserved.
  • HIPAA Statement
  • Privacy Policy
  • Terms & Conditions
  • Sitemap
West Coast Hearing
Varies
303 West First Street
Aberdeen, WA 98520
Office:(360) 533-0633