Patient Forms

Expedite your visit to our online clinic by filling out our intake forms and submitting them 48 hours prior to your first visit. We look forward to welcoming you into the Tinnitus & Misophonia Treatment Center with open arms!

  • Coming Soon

Expedite your visit to our online clinic by filling out our intake forms and submitting them 48 hours prior to your first visit. We look forward to welcoming you into the Tinnitus & Misophonia Treatment Center with open arms!

Coming Soon

Financing Options:

Our providers believe that high-quality care should be accessible to everyone. We are more than happy to answer any questions that you may have about our fees for treatment as we do not accept health insurance benefits. We can supply you with receipts for treatment with designated codes so that you can submit for out of network reimbursement or utilize health savings accounts (HSA’s) etc. 

To learn about the different financing options available, please call our office at (844) 432-7349 to learn more.

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Ready to Schedule An Appointment?

We know that a hearing impairment can take its toll emotionally and can affect how well you’re able to understand the world around you. Our goal is to offer the best care possible to find a solution that works for you.