920 Heritage Park Blvd Suite 200-A,Layton, UT 84041

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Forms

At Elite Hearing Utah in Layton, we offer a variety of personalized options tailored to improve your hearing and enrich your daily life.

Please click on the links below to access the forms:

Patient Intake Form

At Elite Hearing Utah in Layton, you can streamline your visit by completing our Patient Intake Form in advance. Providing key information beforehand ensures a smooth and efficient experience, allowing us to deliver top-notch care from the moment you step into our clinic.

Adult Case History Form

At Elite Hearing Utah in Layton, our Adult Case History Form is designed to gather comprehensive information about your hearing. By understanding your unique hearing needs and concerns, our experienced professionals can tailor a customized plan specifically for you.

Please note: To view and print these forms, you will need Adobe Acrobat Reader or a similar PDF viewer installed on your device.

Please let us know if you need help accessing or printing the forms; we will be happy to help you.

Thank you for choosing Elite Hearing Utah in Layton, Utah. We appreciate the opportunity to serve you.