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Submit this form and we will call to schedule a day & time, or call any office to make an appointment.

Nashua ............... 877.846.2035
Manchester ......... 877.382.3960

Concord .............. 877.787.6892


Meet Dr. Sheets - Chief Audiologist

Screening and Exams - Schedule a hearing test

Bluetooth Hearing Aids - Reconnect to your cell phone television and music. Available at Hearing Solutions

Schedule an exam at Hearing Solutions™ of NH

Fill-out the form below and our office will contact you to confirm a date and time.
PLEASE NOTE: Appointment day and times are not set until we can confirm with
you by phone or email. Thank you.

Office:
Preferred Date:
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Preferred Time:
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Name:
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*
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I currently wear or have previously worn hearing aids.

Are there any specific questions/concerns can we can address when you are contacted?



Online Hearing Test

Do people seem to mumble or speak in a softer voice than they used to?
Do you feel tired or irritable after a long conversation?
Do you find that you need to ask people to repeat themselves?
When you are in a group or in a crowded area, is it difficult for you to follow the conversation?
Do you need to turn up the volume on your TV or Radio?
Is carrying on a telephone conversation difficult?
Has someone close to you mentioned that you might have a problem with you hearing?

If you checked any of the questions above, you likely have some level of hearing loss. Use the form above to schedule a full audiological exam and learn how you can improve your hearing. Or call to schedule an appointment. Machester 877-382-3960, Nashua 877-846-2035, or Concord 877-787-6892.



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