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

"I have been going to Potomac Audiology for two years. I have seen about three different Doctors and they have all been great. They don't rush you and take their time in order to make sure your results are perfect. They are all extremely pleasant, patient, helpful and fair. I am extremely pleased with them and will continue to return to them for my hearing needs."
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