Aged Care - Ears To You

Book your appointment

Ears to You will be attending our centre to assess our resident’s audiological needs.

As many residents are unable to access external independent hearing services, Ears to You will provide the full complement of diagnostic hearing services at our home.

Ears to You will be providing these services on a regular basis.

While there are many different ways to cope with and combat hearing loss, Ears to You will provide the best advice and solutions for your circumstances.

To book an appointment, please complete this form:

"*" indicates required fields

Resident Name*

Facility Name*

Section/Room No:*

Are you a pension card holder?*

Yes

No

What is the best email address for us to provide additional consent forms required by the Office of Hearing Services*

Are you a DVA card holder?*

Yes

No

What is the best email address for us to provide additional consent forms required by the Office of Hearing Services?*

Diagnostic Hearing Screening - Nil Charge

Yes

No

Would you like Ear Wax Removal? $100 recommended prior to diagnostic session*

Yes

No

Existing Hearing Aid Service - a quote will be provided prior to any service

Yes

No

Hearing Aid Purchase - prices will be discussed either during or after the appointment with family members

Yes

No

Next of kin name*

Next of kin contact number*

Next of kin email address

Total

Address*

Street Address City State Postcode Country

Credit Card

Card Details

Cardholder Name

Notifications

Book your appointment

To book an appointment, please complete this form:​​

To book an appointment, please complete this form: