New Patient Forms

Adult & Child History Form

Please fill out the Adult or Child History Form prior to your visit and bring the completed form with you to the appointment, or email to reception@potomacaudiology.com.

What Our Clients Say

"My audiologist is Tricia Terlep. Can't say enough positive about my experience with her. She's a lovely person to work with, knows her business, is attentive and patient. The office is clean and attractive and front desk staff are courteous."
Best of Bethesda 2024 Winner
READERS' PICK Best Audiology Practice
“Best Audiologist,” Best of Bethesda Readers Poll, Bethesda Magazine
“Best Audiologist,” Best of Bethesda Readers Poll, Bethesda Magazine