Patient Form

This form complies with the Federal Health Insurance Portability and Accountability Act (HIPAA). This is a secure form; the information that you enter here will be seen only by the staff of our practice.

Directions: fill out all applicable fields and submit the form. We will contact you if there are any concerns or errors with your submission.

MaryAnne Barfield

2023-08-28

First time wearing hearing aids for me Shannon & her staff made the whole experience so easy and professional took all the anxiety & fear out of getting hearing aids I highly recommend them also very affordable

Judy Noah

2023-08-22

Focus Hearing is a wonderful place for hearing needs ! I was there in March 2022 For my first appt and was treated very well and took care of my needs in a timely manner! The staff is extremely pleasant and efficient ! You won’t be disappointed !!

Anne Dale

2023-08-21

I’m still in my Trial Phase in my Hearing Aids, but I am so pleased with them already! Until Shannon Schneller fitted them after my hearing test, I had no idea how relaxing it was to HEAR so easily and clearly! I didn’t realize how long I had been struggling to make out words and meaning from conversations! Hearing sound was not the issue, but clarity was. Now I am more confident and comfortable around people; I’m not afraid of embarrassing myself by misunderstanding speech. Recently I attended an excellent high school production of the Disney Musical “Frozen”. What a delight to use the Universal setting on my Horizon APP that focused the sound in front and on both sides! This is an amazing set of comfortable hearing aids! I wear glasses to see better—why did I wait so long to HEAR better?!

Richard Pinsonneault

2023-08-14

In the last thirty days, I've purchased hearing aids, and have also had a follow up appointment with this company. Their professionalism is unsurpassed. They've introduced me to a whole new life. I can now easily hear the beautiful voices of my wife, daughters, and granddaughter, without having to ask, "what," 2-3 times. Life is good. Thank you, Shannon!