Patient Information

The following information may be helpful to patients having a surgical procedure with the Hearing & Balance Center:

Patient Forms

These forms may be filled out in advance of your appointment. Click the form name to download the form to your computer. After printing/filling out the forms, bring them with you at your first visit, or fax them to: 

Hearing and Balance Center
65 Memorial Road
Suite 200
West Hartford, CT 06117
Fax: (860) 496-1961

Dizziness Clinic Forms: