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Northgate Hearing Services
(206) 367-1345
10564 5th Ave NE, #203 Seattle, WA 98125
Northgate Hearing Services

We listen
so you can hear

Patient Forms

Please download and complete the first four forms prior to your initial visit. Our forms are available as PDF downloads. If you don’t have Adobe Acrobat, you can download it by clicking here.

Forms for your appointment

  • Face Sheet
  • Patient Questionnaire
  • Hearing Health History
  • Family or Friend Questionaire
  • Medication Documentation

Additional Forms

  • Notice of Privacy Practices
  • Practice Comparison
Patient Forms

Hearing Survey

Take your hearing health seriously! Complete our survey to assess your hearing health needs today!

Start Survey
Patient Forms

Hearing Aids

We carry the latest in hearing aid technology. Browse our complete selection and find the right fit for you.

View Products
Patient Forms

Tinnitus

Experiencing ringing, buzzing, whooshing or hissing sensation in your ears? Contact us for solutions today.

Get Help Today
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