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  • About
    • About Aspire Hearing Solutions
    • Meet the Team
    • Why Choose Us?
    • HearingUp Network
    • Financial
    • New Patient Form(s)
  • Hearing Loss
    • Overview
    • What Is Hearing Loss
    • Conductive Hearing Loss
    • Sensorineural Hearing Loss
    • Prevent Hearing Loss
    • Hearing Loss Treatment Options
  • Hearing Aids
    • Overview
    • Do I Need Hearing Aids
    • Hearing Aid Brands
    • Types of Hearing Aids
    • Bone Anchored Hearing Aids
    • Cochlear Implants
    • Batteries and Accessories
  • Tinnitus
    • Tinnitus
    • Lenire Tinnitus Relief
  • Hearing Services
    • Overview
    • Hearing Test
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Tinnitus Treatment
    • Hearing Protection
    • Earwax Management
    • Balance Test
  • Blog
  • Locations
    • Lakeland, FL
    • Winter Haven, FL
  • About
    • About Aspire Hearing Solutions
    • Meet the Team
    • Why Choose Us?
    • HearingUp Network
    • Financial
    • New Patient Form(s)
  • Hearing Loss
    • Overview
    • What Is Hearing Loss
    • Conductive Hearing Loss
    • Sensorineural Hearing Loss
    • Prevent Hearing Loss
    • Hearing Loss Treatment Options
  • Hearing Aids
    • Overview
    • Do I Need Hearing Aids
    • Hearing Aid Brands
    • Types of Hearing Aids
    • Bone Anchored Hearing Aids
    • Cochlear Implants
    • Batteries and Accessories
  • Tinnitus
    • Tinnitus
    • Lenire Tinnitus Relief
  • Hearing Services
    • Overview
    • Hearing Test
    • Hearing Aid Fitting
    • Hearing Aid Repair
    • Tinnitus Treatment
    • Hearing Protection
    • Earwax Management
    • Balance Test
  • Blog
  • Locations
    • Lakeland, FL
    • Winter Haven, FL
About

Patient Form Packets

New patient packets are available for you to print. Please complete all pages in the packet and bring them with you to your appointment.

  • Basic New Patient Paperwork Packet
  • Balance New Patient Paperwork Packet
  • Cerumen & Earmold Impressions New Patient Paperwork Packet
  • Hearing & Tinnitus New Patient Paperwork Packet
  • Pediatric New Patient Paperwork Packet
  • Records Request & Release Form
  • HIPAA Privacy Policy
  • Financial Policy

Take Your First Step Today

Getting started is simple. Call, text, or schedule online to connect with our team. We’ll answer your questions, gather a bit of information, and help you schedule an appointment that fits your schedule.

Call or Text Us
Aspire Hearing team standing in front of office building

Lakeland, FL Office

  • 635 Midflorida Drive, Suite 2
    Lakeland, FL 33813
  • Call or text: 863-450-1179
  • Fax: 863-646-3299
  • info@aspirehearing.com

Mon – Wed: 8:30am – 6:30pm
Closed for lunch 12:00pm – 1:00pm
Friday: 8:30am – 1:30pm
Closed Thursday, Saturday & Sunday

Winter Haven, FL Office

  • 510 1st St. S
    Winter Haven, FL 33880
  • Call or text: 863-594-1978
  • Fax: 863-291-0737
  • WHinfo@aspirehearing.com

Mon – Thurs: 9:00am – 4:30pm
Closed for lunch 12:00pm – 1:00pm
Closed Friday, Saturday & Sunday

  • Privacy Policy
  • Statement of Non-Discrimination
  • Sitemap
  • Privacy Policy
  • Statement of Non-Discrimination
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