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Home
About Us
Meet Our Team
What To Expect At Your First Visit
Testimonials
Services
Hearing Evaluations And Testing
Hearing Aid Fittings
Hearing Aid Repair
Custom Ear Molds And Ear Plugs
Tinnitus Evaluation
Online Hearing Test
Hearing Aids
Hearing Aids And Lifestyle
Hearing Aids We Carry
Smart Hearing Aids
Caring For Your Hearing Aids
OTC Hearing Aids
Blog
Review Us
Contact Us
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Phone Number
(508) 775-0959
Location
Hyannis, MA 02601
Adult Case History And Profile
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Please indicate if you take medications for any of the following:
Diabetes
Blood Pressure
Diuretics
Pain
Inflammation
Anxiety
Neurologic Disease
Antibiotics
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Vertigo
Depression
Please check any of the following that you currently have or have had in the past:
Arthritis
Pacemaker
Parkinson's
Ear Infections
High Blood Pressure
Scarlet Fever
Bell's Palsy
High Cholesterol
Diabetes: Type 1 or Type 2
HIV
Stroke / TIA
Thyroid
Malaria
Head Injury
Hepatitis
Measles/Mumps
Cardio-Vascular Disease
Menengitis
Migraines
Other
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Medication List
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IV
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Topical
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IV
Administration Type
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Topical
Injection
IV
Administration Type
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Topical
Injection
IV
Administration Type
Oral
Topical
Injection
IV
Administration Type
Oral
Topical
Injection
IV
Administration Type
Oral
Topical
Injection
IV
Administration Type
Oral
Topical
Injection
IV
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