Logo, Associated Hearing & Diagnostics, Hearing Aids in Richlands, VA
Richlands: (276) 964-7465        
Grundy: (276) 935-1777        
              Toll Free: (888) 671-9135           Tazewell: (276) 988-5482                    
    
 6719 Governor G. C. Peery Hwy, Ste. 2500
   Richlands, VA 24641
 

Our Other Locations

 

 

      For your convenience, the following forms can be printed, filled out at your leisure, and brought with you when you come for your appointment.  You will need to have your primary care physician fill out the referral form.  Also, it is important that we have a list of all the medications that you are taking.  There is a "List of Medications" form below that can be printed.

 

Forms:

 

Referral Form

Patient Information Form

List of Medications

Adult Case History Form

Child's (infant - 12 yr) Case History Form

Privacy Policy

Battery Club

 

 

Contact us today to schedule an appointment in Richlands, Grundy or Tazewell.