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

"Absolutely great service with lots of information and customer focus. I am so appreciative of their seamless process. My doctor (Dr. Wohar) explained everything in detail and saved me a small fortune by reprogramming an existing device rather than upsell me an unnecessary new product. Very much appreciated everything at Potomac Audiology!"

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