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Call: 804-282-5590
Hearing Solutions You Can Trust.
Please click on the links below to download forms you can fill out before you arrive at the clinic. This will save you some time at your appointment. You can then bring it with you to your appointment at our office. Please give us a call at (804) 282-5590 if you have any difficulty downloading the document or need help filling out the information.
1. Hearing Abilities Questionnaire - Click Here to Download>>
This form will allow you to document specific areas of frustration for you and your family. If you have a hearing evaluation scheduled or a hearing aid evaluation scheduled, please download this form , fill it out to the best of your ability and bring it with you to your appointment.
2. Patient Information Form - Click Here to Download>>
This form is for people who have never been to our office, please download this form to fill out information about yourself and your insurance. Please download this document, fill it out, and bring it with you to your appointment.
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See what others are saying...
Just call me Marvin "now I can Hear" Raines. I hear such much better with my new hearing aid–and its so much easier to use than any aid I had before. I am so glad that I came to Dr. Betty and Hear Virginia–she has worked miracles for me!
- Marvin "Now I can Hear" Raines, Disputanta VA Read more
When I decided to get hearing aids, I was afraid that I would feel old and frumpy-nothing could be further from how great I now feel. I can't believe how much better I hear my husband, my family, and my life! They are so tiny that even my husband has difficulty seeing them! Dr. Lori and Hear Virginia are so helpful and definitely guided me to find the best hearing solution for me!
- Joan Novey, Richmond VA Read more
