Instructions
You can print out or fill in the form online. Please print out the referral form and fax it to our office at 1-888-848-2102. We will call you with an appointment time for your patient.
The report of findings will be sent to the referring physician.
Hearing Aid Central_Requisition Form
If you have a question that is not answered on our site, you can easily contact us or call 416-551-4327.
*Note: if you’re having trouble opening the file, click below to get Adobe Reader.
