Patient Intake Form
Patient Intake Form
Patient Intake Form
Request a Callback
If you would like to register your interest in joining ‘Better Hearing 4 Life’ – then the first step is to complete this form. A member of the team will then call you to schedule an initial appointment where you can have your hearing comprehensively tested and they can walk you through how ‘Better Hearing 4 Life’ works. If you would then like to get started and receive leading hearing healthcare from just $99/month, then you can be fitted with leading technology straight away.

Request a Callback
If you would like to register your interest in joining ‘Better Hearing 4 Life’ – then the first step is to complete this form. A member of the team will then call you to schedule an initial appointment where you can have your hearing comprehensively tested and they can walk you through how ‘Better Hearing 4 Life’ works. If you would then like to get started and receive leading hearing healthcare from just $99/month, then you can be fitted with leading technology straight away.
Request a Callback
If you would like to register your interest in joining ‘Better Hearing 4 Life’ – then the first step is to complete this form. A member of the team will then call you to schedule an initial appointment where you can have your hearing comprehensively tested and they can walk you through how ‘Better Hearing 4 Life’ works. If you would then like to get started and receive leading hearing healthcare from just $99/month, then you can be fitted with leading technology straight away.





