Find a Location
Call Us (443) 295-7100
Find a Location
(443) 295-7100
Find a Location

Call Us (443) 295-7100
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  • Home
  • About Us
    • Who We Are
    • Our Team
    • Professional Associations
    • Photo Gallery
    • Events and Community Outreach
  • Reviews
    • Patient Reviews
    • Review Us
  • Services
  • Hearing Aids
    • Hearing Aid Styles
    • Hearing Aid Brands
  • Patient Resources
    • Troubleshooting Your Hearing Aid
    • Patient Forms
    • Insurance and Financing
    • Blog
    • How the Ear Works
    • Types of Hearing Loss
  • Contact

Patient Forms


Potomac River

If you’d like to complete our new patient forms before your visit, please click the following links to download each form. We also encourage our patients to complete this paperwork in our office if that is more convenient.

Release of Information
Medical History
Patient Intake Form
Notice of Privacy Practices
Privacy Consent Form
Balance Testing Forms

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Enhance your hearing by visiting us today


Request an Appointment
About Us
At Freedom Hearing Center, we want every patient to feel like they’re a part of the family. Whether you’re interested in your first hearing evaluation or you need follow-up care for your hearing devices, we’re dedicated to providing you with exceptional service.
Find a Location
443-295-7100
443-295-7555
  • Home
  • About Us
    • Who We Are
    • Our Team
    • Professional Associations
    • Photo Gallery
    • Events and Community Outreach
  • Reviews
    • Patient Reviews
    • Review Us
  • Services
  • Hearing Aids
    • Hearing Aid Styles
    • Hearing Aid Brands
  • Patient Resources
    • Troubleshooting Your Hearing Aid
    • Patient Forms
    • Insurance and Financing
    • Blog
    • How the Ear Works
    • Types of Hearing Loss
  • Contact
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Notice of Privacy Practices
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  • Home
  • About Us
    • ← Back
    • Who We Are
    • Our Team
    • Professional Associations
    • Photo Gallery
    • Events and Community Outreach
  • Reviews
    • ← Back
    • Patient Reviews
    • Review Us
  • Services
  • Hearing Aids
    • ← Back
    • Hearing Aid Styles
    • Hearing Aid Brands
  • Patient Resources
    • ← Back
    • Troubleshooting Your Hearing Aid
    • Patient Forms
    • Insurance and Financing
    • Blog
    • How the Ear Works
    • Types of Hearing Loss
  • Contact
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