To prepare for your first visit at Easley Audiology ,please complete the patient forms below and bring them to your appointment. Please download the form, then print it out to complete it and bring it to your appointment. You’re also welcome to complete this form in-office by simply arriving 15 minutes before your scheduled appointment time.
Insurance and Financing
HEARING CARE FINANCING
We accept CareCredit ®, the leading healthcare credit card, to make improving your hearing health easier and more affordable. With CareCredit®, you can get the hearing instrument you need and conveniently pay for it over time with monthly payments that easily fit into your budget.
YOUR HEALTHCARE CREDIT CARD
CareCredit ® is a healthcare credit card for every member of the family. CareCredit® offers special financing on purchase of $200 or more* for healthcare costs not commonly covered by insurance, including hearing aids.
It’s the convenient way to improve your hearing health. Learn more by contacting our office.
WELLS FARGO HEALTH ADVANTAGE® CREDIT CARD*
We are proud to be able to offer financing through a stable and experienced company like Wells Fargo. The Wells Fargo Health Advantage® credit card program offers a comprehensive range of financing options. This means you have the flexibility to receive treatment now and pay over time with financing.
*The Wells Fargo Health Advantage® credit card is issued with approved credit by Wells Fargo Bank, N.A. Ask for details.