Troy, OH

(937) 308-7000

Fax

(937) 703-9255

Patient Forms

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Patient Portal

Upper Valley Hearing & Balance Inc logo
  • Home
  • About Us
  • Our Services
    • Hearing Tests & Diagnostic Audiologic Evaluations
    • Hearing Aid Evaluations, Fittings & Dispensing
    • Hearing Aid Repair & Maintenance
    • Earwax Removal
    • Tinnitus Treatment / Lenire
    • Cochlear Implants
    • VNG Testing
  • Hearing Aids / Lyric
  • Contact

Patient Forms

Download these patient forms before your first visit!

Patient Information Form
Patient History Form
Dizziness / Vertigo Questionnaire

Troy, OH

210 S. Market Street
Suite A
Troy, OH 45373

Phone: (937) 308-7000

Fax: (937) 703-9255

Hours:
Mon - Fri 9:00am - 5:00pm
Closed at lunch 12:00pm - 1:00pm

Upper Valley Hearing & Balance Inc logo
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Upper Valley Hearing & Balance Inc logo

Patient Forms

Pay My Bill

Patient Portal

  • Home
  • About Us
  • Our Services
    • ← Back
    • Hearing Tests & Diagnostic Audiologic Evaluations
    • Hearing Aid Evaluations, Fittings & Dispensing
    • Hearing Aid Repair & Maintenance
    • Earwax Removal
    • Tinnitus Treatment / Lenire
    • Cochlear Implants
    • VNG Testing
  • Hearing Aids / Lyric
  • Contact

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