Thames Hearing Services, Inc.
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Patient Forms and Insurance 

Before you visit, please complete paperwork in advance!

Policies 
Notice of Privacy Practice
File Size: 97 kb
File Type: pdf
Download File

Patient Financial Policy
File Size: 68 kb
File Type: pdf
Download File

New Patient Forms 
New Patient Intake Forms 2020
File Size: 88 kb
File Type: pdf
Download File

Patient History Form
File Size: 51 kb
File Type: pdf
Download File

Notice of Privacy Practice to be signed and acknowledged by patient
File Size: 21 kb
File Type: pdf
Download File

Returning Patient Forms 
Update of Medical Form
File Size: 62 kb
File Type: pdf
Download File

Insurances Accepted
If you do not see your insurance carrier listed please call and inquire.
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Third party payers also accepted. 
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  • Home
  • About Us
  • Contact
  • COVID-19 Procedures
  • Patient Forms & Insurance
  • Services
  • Hearing Aid Products
  • Patient Testimonials
  • Monthly Posts