Call us:
727-767-0933
Call us:
727-767-0933
Request Appointment
Home
About Us
Cochlear Implants
About Cochlear Implants
CI Technology Partners
Cochlear Implant Surgery
Candidacy & Evaluation
Surgery
Activation
Therapy
Expectations
Benefits & Risks
Testimonials
Personal Stories
Resources
Forms & Information
Helpful Links
Contact Us
Locations
Clearwater
Clearwater
Office: 727-304-6786
Fax: (727) 509-8863
1330 South Fort Harrison
Clearwater, FL 33756
Book Appointment
Please fill out the form below to request an appointment at this location.
Full Name
*
Email
*
Phone Number
*
Prefered Method of Contact?
*
Email
Phone
How long have you had hearing loss?
*
In which ear(s) do you have hearing loss?
*
Right
Left
Both
Do you wear a hearing aid(s)?
*
No
Yes
If yes, in which ear?
*
None
Right
Left
Both
How old is your hearing aid(s)?
*
How did you hear about us?
*
Comments
Home
About Us
Cochlear Implants
▼
About Cochlear Implants
CI Technology Partners
Cochlear Implant Surgery
▼
Candidacy & Evaluation
Surgery
Activation
Therapy
Expectations
Benefits & Risks
Testimonials
▼
Personal Stories
Resources
▼
Forms & Information
Helpful Links
Contact Us