Holiday Plaza Hearing Aid Center serving Holiday City in Toms River, NJ

Please download these forms to complete at home. We understand that no one
likes paperwork (we don’t like paperwork either). We provide the forms
online to make your visit to our office a little less complicated for you.
Please don’t forget to bring the forms with you when you come to the
office for your visit.

Print New Patient Form Dizziness Questionnaire Pediatric History

• American Academy of Audiology
• American Speech-Language-Hearing Association
• Better Hearing Institute
• Mayo Clinic

Trouble Hearing? Why wait? We can help today.

Our Company works with industry groups to ensure that its products and services meet or exceed industry standards with respect to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). Our Company’s products and services are specifically designed to include features that help our customers comply with HIPAA. Our Company uses a relational database that employs a secure login process requiring a user name and password. Our Company supports role-based access. That is, users are assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit access to data. When a user adds or modifies data within the database, a record is made that includes which data were changed, the user ID, and the date and time the changes were made. This establishes an audit trail that can be examined by authorized system administrators.
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