New Patient Forms

You can now download new patient forms from our website before you come in for your office visit and save time!


Please remember to bring your insurance card with you at the time of visit. Cary Audiology Associates participates with most major insurance plans. To verify participation in your plan, please contact us at (919) 851-3800.


New Patients to our practice should complete
the following new patient forms:


There are PDF and WORD version available for each form, to dowload the forms, right click with the mouse and select save link file...


New Patient Registration Form
New Patient Registration Form
Medical History Questionnaire Form
Medical History Questionnaire Form
Release of Information Form
Release of Information Form
Release of Information Form
Release of Information Form


Cary Audiology Associates PLLC © • Copyright 2010
115 Parkway Office Court, Suite 100 • Cary, NC, 27518 • (919) 851-3800
Monday - Thursday: 8:30 to 5:00 pm • Friday: 8:30 to 12:00 pm