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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

"This is the place to go for hearing aids and audiology needs. Having worked with acoustics in the Navy for years, I can say that the doctors are clearly knowledgeable and their service and support are outstanding. The office staff deal quickly with insurance issues as well."
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