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Schedule an Appointment

Your Name

Phone Number


Desired Appointment

Contact me via:

Additional Information

This form lets us know what day you would like to come in.

Janet or one of our other office staff will contact you after form submission. Due to our constantly changing schedules, we are unable to guarantee the day you request will be available.

Once one of our staff has received your information we will contact you to confirm an exact time and date for your appointment.

If you are a new client to Stanford Hearing Aids, feel free to print and fill out our “Patient Information Form” and our “Hearing Health Assessment” prior to your appointment time. This will save you time during the appointment.

Patient Information Form

Hearing Health Assessment

Please don’t hesitate to call if you have questions.

(605) 338-6251