Make an Appointment

Ready to take control of your hearing health? Complete our form below to schedule a personalized appointment with Fariba Denak at Newmarket Hearing Clinic. We'll gather the details needed to provide you with the most effective care.

Service List

Appointment Form

First Name *

Last Name *

How Did You Find Us?

Email Address *

Phone Number *

Preferred Contact Method

Services You NeedHearing AssessmentsHearing Aid Selection and FittingHearing Aid Repair and MaintenanceTinnitus ManagementEarwax RemovalCustom Hearing Protection and EarmoldsPediatric Hearing ServicesAssistive Listening Devices (ALDs)Education and Counseling

How long have you been experiencing hearing difficulties?0 / 180

Do you experience ringing or buzzing in your ears (tinnitus)?0 / 180

Have you had ear infections or injuries in the past?0 / 180

Do you find it difficult to hear in noisy environments?0 / 180

Are certain sounds, like high-pitched or low-pitched sounds, harder to hear?0 / 180

Do you experience discomfort or pain in your ears?0 / 180

Have you previously used hearing aids or assistive listening devices?0 / 180

Is there a family history of hearing loss?0 / 180

Do you have trouble following conversations in groups or on the phone?0 / 180

Have you been exposed to loud noises regularly, such as at work or in hobbies?0 / 180

Date

Hours