New Patient Forms

Save some time!

Download the following forms and fill them out prior to your first visit:

• Patient Intake Form
• Confidential Case History
• HIPAA/Medical Release

Fill out the following forms if you are scheduled for this particular evaluation:
Please note: No-show or late cancellation (within 24 hours of appointment time) is subject to a $100 fee.

• VNG instructions
• Dizziness Questionnaire
• Tinnitus Questionnaire

Our Locations:

1316 Rock Cliff Drive
Martinsburg, WV 25401
304-264-8884

31 Willow Spring Drive
Charles Town, WV 25414
304-728-6763