The forms below will help us better serve you during your first visit.
New Patient Forms
Our friendly and accredited staff look forward to serving you. We appreciate your interest and fully understand your expectations when it comes to truly custom care, personalized fittings, and precision repair to your hearing devices.
You can fill out our quick contact form below if you have not yet set up an appointment. If you’ve already requested an appointment time, you can download any of our new patient intake forms below to fill out in the comfort of your home and bring with to your initial meeting with our audiologists.
These forms must be printed out and brought with you to your appointment:
Dr. Ledtke and Dr. Cooperider intend to put the “care” in hearing health care. Their goal is to prevent hearing loss where possible, provide comprehensive testing when there are concerns, and make appropriate recommendations when help is needed.
Contact Our Audiologists
875 E. Townline Road #101
Lake Geneva, WI 53147