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 to three audiology centers for testing and hearing aid evaluation and Potomac Audiology was far and away the best of the three. Dr. Tricia Terlep does the most extensive testing, the best explanation of the possible options, and the best fitting of a hearing aid. She brings a scientific, service-oriented approach to her practice. Compared to her, the two other audiology centers I have been were mere hearing aid salespeople."
READERS' PICK Best Audiology Practice
“Best Audiologist,” Best of Bethesda Readers Poll, Bethesda Magazine
“Best Audiologist,” Best of Bethesda Readers Poll, Bethesda Magazine