720-446-2828

200 Union Boulevard, Suite 421, Lakewood, CO 80228
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Your Source for Hearing Rehabilitation Excellence

Patient Forms

Please print and complete the Patient Information and Adult Hearing Health History prior to your initial appointment at Mile High Hearing. 

A Medical Record Release form is available if you need records transferred to our office from a previous provider or previous practice.

Your privacy is very important to us. Please make sure to carefully review the Notice of Privacy Practices.