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Call Us Today! 907-644-6004 | Monday thru Friday 9am to 5pm

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Accurate Hearing Systems
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    • About Us
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    • What To Expect On Your First Visit
    • History of the Hearing Aid
    • Importance of Healthy Hearing
    • Testimonials
  • Hearing Aid Services
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    • Video Otoscope Ear Inspection
    • Hearing Test
    • Hearing Aid Cleaning
    • Demonstrations
    • Take A Quiz, See If You Show Signs of Hearing Loss
      • So, What If I Say Yes To Any of These Questions?!
  • Hearing Aids
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    • In the Canal
      • Completely in the Canal
      • Invisible in the Canal
    • In the Ear Hearing Aids
    • Behind the Ear
    • Receiver in the Canal
    • Custom Ear Molds
      • Musician Earbuds
      • Hunting Hearing Aids
      • Swim Earplugs
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    • Starkey Hearing Aids
    • Signia Hearing Aids
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    • Contact Us
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    • Intake Forms
Accurate Hearing Systems
  • Home
  • About Us
    • About Us
    • Our Team
    • What To Expect On Your First Visit
    • History of the Hearing Aid
    • Importance of Healthy Hearing
    • Testimonials
  • Hearing Aid Services
    • Hearing Aid Services
    • Video Otoscope Ear Inspection
    • Hearing Test
    • Hearing Aid Cleaning
    • Demonstrations
    • Take A Quiz, See If You Show Signs of Hearing Loss
      • So, What If I Say Yes To Any of These Questions?!
  • Hearing Aids
    • Hearing Aids
    • In the Canal
      • Completely in the Canal
      • Invisible in the Canal
    • In the Ear Hearing Aids
    • Behind the Ear
    • Receiver in the Canal
    • Custom Ear Molds
      • Musician Earbuds
      • Hunting Hearing Aids
      • Swim Earplugs
      • Hearing Protection
    • Starkey Hearing Aids
    • Signia Hearing Aids
  • Tinnitus
  • Blog
  • Video Library
  • Contact Us
    • Contact Us
    • Financing Options
    • Schedule Online
    • Intake Forms

Intake Forms

Prepare Before Your Appointment

Save time on your appointment day by filling out our customer intake forms below. Please bring completed forms with you to your appointment. We offer hearing care solutions to the Anchorage, AK and surrounding areas.

  • Acknowledgement of Receipt of Notice
  • Confidential Patient Information (Online Form) (Download Form)
  • Consent for Treatment (Online Form) (Download Form)
  • Notice of Privacy Practices
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Address:
510 W Tudor Rd Ste 3
Anchorage, AK 99503

Phone: 907-644-6004
Toll: 888-229-6004
Fax: 907-644-4432
Email: [email protected]

Hours of Operation:

Monday: 9 AM – 5 PM
Tuesday: 9 AM – 5 PM
Wednesday: 9 AM – 5 PM
Thursday: 9 AM – 5 PM
Friday: 9 AM – 5 PM

About Us:
Accurate Hearing Systems is a state-of-the-art hearing aid provider in Anchorage, AK offering hearing aids and hearing tests in an atmosphere that has a “feel right at home” quality.

Copyright © 2025 Accurate Hearing Systems

Alaska law permits a hearing aid dealer who is not a licensed physician or a licensed audiologist to test hearing only for the purpose of selling or leasing hearing aids; the tests given by a hearing aid dealer are not to be used to diagnose the cause of a hearing impairment.