Patient Forms

RPHC offers the convenience of online forms  to print from the comfort of home

New Patient Forms

Notice of Privacy Practices

Acknowledgement of Privacy Practices

Medical Information Release Form

Directions:

1. Click the links above to download

2. Save and print your forms

3. Complete and bring with you to your first appointment

4. Call us with any questions, we're here to help

Redlands Professional Hearing Center (909) 792-0074 | 16 E. Fern Ave. Suite C Redlands, CA 92373 | admin@redlandshearing.com

©2019 by Redlands Professional Hearing Center