"But what a humiliation for me when someone standing next to me heard a flute in the distance and I heard nothing, or someone standing next to me heard a shepherd singing and again I heard nothing. Such incidents drove me almost to despair; a little more of that and I would have ended my life - it was only my art that held me back. "
- Ludwig Van Beethoven
 
For your convenience we offer our intake forms for you to download and fill out in the comfort of your own home. Please bring the completed forms with you to your appointment.

Downloadable Forms:

Cerumen Managment Questionaire
Insurance Personal Information Form
Notice of Privacy Practices (HIPPA)
Pediatric Case History
Personal Hearing Questionaire
Records Release
 
 
 
 







 

BERKS HEARING PROFESSIONALS
4997 North Twin Valley Rd, Suite 2
Elverson, PA 19520

Phone (610) 286-1999
Fax (610) 286-1991
Email: customercare@berkshearing.com