During your intial visit to Family Audiology Associates, Inc., we will conduct a thorough review of your current situation and work with you to address any issues that may present itself. Through our 21 years of combined experience, we are confident we can address your needs.

We recommend family members accompany you to your appointment if at all possible. Open communication is encouraged with you, your family, and the referring physician. We want you to feel comfortable about addressing questions with our staff, as well as, our doctors. No question is ever insignificant; if it is important to you, it is important to us.

To better prepare for the visit, you may want to review, print and fill out the following forms:

  1. Patient Information Form
  2. Patient Case History Form
  3. Child Hearing History
  4. HIPAA Acknowledgement Form
  5. Medicare Beneficiaries Form
  6. Notice of Privacy Practices (Optional)
  7. Patient Instructions for Vestibular Testing Form
  8. Vestibular Patient Questionnaire
Phone: 419-584-2255
Fax: 419-584-0808
Email: info@familyaudiology.com

Community Medical Center
950 S. Main Street, Suite 4
Celina, OH 45822

Also At:
Joint Township District Memorial Hospital
200 St. Clair St.,
St. Marys, OH 45885

maps