Shohet Ear Associates was the first practice in Orange County to offer Lyric, a totally invisible, extended wear hearing aid. Click here to read more

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DATE: March 11, 2010 TIME: 6:44 PM

Patient Forms

Complete These Forms Before Your Visit

Please complete the New Patient Information Form and the Patient Health Survey before coming in for your appointment:

New Patient Information Form / Patient Health Survey
Privacy Notice

If you have tinnitus or ringing/roaring in the ear, please fill out the following forms:

Tinnitis Handicap Inventory
Tinnitus Severity Index
Tinnitus/Hyperacusis History

If you have dizziness, vertigo, or poor balance, please fill out the following form:

Vestibular Questionnaire

If you a neuromonics patient, please fill out the following forms:

Tinnitus History Questionnaire
Tinnitus Reaction Questionnaire
TInnitus Handicap Inventory
Hospital Anxiety and Depression Scale

Any information provided on this web site should not be considered medical advice or a substitute for a consultation
with a physician. If you have a medical problem, contact your physician for an evaluation.