phconnect.png

  • ABOUT US

  • BECOME A PATIENT

  • GET INVOLVED

  • OPPORTUNITIES

  • CONTACT

  • PACIFIC HEARING SERVICE

  • More

    Use tab to navigate through the menu items.
    DONATE

    Become a patient > Apply online > Authorization to Request Records

    Apply online (3/6)

    Next: Fill out authorization to use and disclosure of health information >

    © 2021 Pacific Hearing Connection, Inc. Pacific Hearing Connection is a 501(c)(3) non-profit.

    Tax ID Number: 81-2591375