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Sounds of Life Hearing Center Logo

Patient Intake Form

Help us serve you better by providing your information

Step 1 of 8:Contact Information

Contact Information

Confidential Communication

I authorize communications by Sounds of Life Hearing Center concerning scheduled appointments, treatment, practice information, newsletters, etc. through the following methods:

Additional Interests

I would like to learn more about:

Need assistance? Call us at (440) 579-4085 or email support@soundsoflifehc.com