Patient Forms

Print out and complete these patient forms to save some time at your first appointment. Thank you in advance for your preparedness!

Patient Intake Form
Pediatric Case History Form
Case History & Listening Assessment (new user)
Case History & Listening Assessment (previous user)
List of Participating Insurance Companies

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Clarity Audiology & Hearing Solutions, LLC provides hearing evaluations and tinnitus evaluations to patients in Ellicott City, Columbia, Catonsville, Baltimore, Sykesville and all of Howard, Carroll and Baltimore County. Contact Clarity Audiology & Hearing Solutions, LLC at 410-698-6594 to schedule a tinnitus evaluation or hearing evaluation.

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