Mid-Valley Hearing Center in Albany, Oregon

For Any Question, Call:
+1-541-926-8092

Patient Forms

At our Hearing Aid Center, we offer a range of comprehensive and personalized solutions to address your hearing needs and improve your quality of life.

Good
Based on 28 reviews
Deb Fell Carlson
Deb Fell Carlson
March 10, 2023
Excellent service. Professional, thorough...
Kermit Long
Kermit Long
January 28, 2023
Mid Valley Hearing Center did an absolutely awesome job for me, they navigated the VA system for me, got me the equipment I needed and did it quickly. I didn’t expect to get my hearing aids as fast as I did. The time they spent dialing them in and making sure I understood how my hearing was affected and the changes they made to make it better for me really showed. I have to say, their dedication to help, and professionalism they displayed really meant a lot! As well as their great sense of humor made the visit enjoyable! Thank you guys!! You are the best!!
Meghan West
Meghan West
January 5, 2023
We look forward to our appointments!We were referred here from the educational service district when our 3 year old failed multiple hearing tests. The clinicians are comforting, engaging, and energetic. I highly recommend them!
Sunflower Lynch
Sunflower Lynch
December 30, 2022
Absolutely wonderful, thorough, responsive, caring and prompt service! Highly highly recommend them for hearing aids. -Becca G
Jeanette Sater
Jeanette Sater
August 28, 2022
This is where my husband has gone since 2004. He is always pleased with Susan’s work.
Jeanette Hernandez
Jeanette Hernandez
August 14, 2022
Very nice and knowledgeable staff. They were awesome with my special needs son and they always did follow up. We couldn't have asked her better.
Richard Blackburn
Richard Blackburn
June 9, 2021
Susan is very professional and caring Doctor and ensures a timely and thorough treatment.
A H
A H
December 8, 2020
I have been bringing my son to Susan and occasionally Nancy for over 15 years now. The care and service has always been excellent! These ladies are so good at what they do and we couldn’t be happier.

Please complete the following forms before your first visit to Mid-Valley Hearing Center. You can conveniently print and fill out these forms in advance to streamline your check-in process and ensure a smooth and efficient visit.

Please click on the links below to access the forms:

Patient Intake Form

Our Patient Intake Form streamlines the onboarding process, ensuring a smooth and efficient experience. By providing us with essential details beforehand, we can focus on delivering exceptional care from the moment you step into Mid-Valley Hearing Center.

Download

Adult Case History Form

Our Adult Case History Form is meticulously designed to gather comprehensive information about your hearing health, empowering our expert audiologists to tailor personalized solutions for your specific needs.

Download

Pediatric Case History Form

Please complete this form if you are bringing a child for a hearing evaluation. It includes questions about the child’s medical history, development, and hearing-related concerns. Providing information will enable our team to provide the best care for your child.

Download

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

If you need help accessing or printing the forms, please let us know; we will be happy to help you.

Thank you for choosing Mid-Valley Hearing Center. We appreciate the opportunity to serve you.