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Serving Patients in Arizona, New Mexico and Texas

Schedule Appointment:
(520) 282-4448

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Patient Forms For Your Visit

  • Date: August 20, 2018
  • Written by: Premier Hearing Center

For greater efficiency Please view and Print Forms prior to your appointment!

Patient Intake Form

Notice of Privacy Practice Acknowledgement

Assignment of Benefits

Notice of Privacy

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10 Locations to service your hearing needs across Arizona, New Mexico and Texas

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© 2022 Premier Hearing Center. All rights reserved.
The trademark “Premier Hearing Center” is owned by Lifestyle Hearing Corporation (USA), Inc. d/b/a AMG.
The trademark “bloom™ hearing specialists network” is owned by Lifestyle Hearing Corporation (USA), Inc. d/b/a AMG.