Our Ear Doctor Offices Are Located At:
446 Old Newport Blvd. Suite 100
Newport Beach, CA 92663

To Schedule An Ear Appointment, Please Call:

(949) 631-HEAR

Suffering From Tinnitus?

We are now offering Neuromonics for the treatment of Tinnitus. Call (949) 631-HEAR to learn more about this promising new treatment!

SEARCH THE EAR DOCTOR:
DATE: July 6, 2008    TIME: 12:26 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

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.