Patient Forms & Information

We hope to offer a patient portal and online submission of forms very soon. Until then, please print these forms and either mail them to Hearts for Hearing, bring them to your appointment, or fax to 405-548-4350.

We participate in the following insurances:
  • AARP Medicare Replacement
  • Aetna
  • BlueCross BlueShield
  • BlueCross Medicare Advantage
  • Community Care HMO Standard
  • Community Care
  • Coventry
  • DRS
  • First Health
  • Healthcare Highways
  • HealthChoice
  • Humana Medicare Replacement
  • Indian Health Services
  • Kempton
  • Medicare
  • Oklahoma Department of Vocational Rehabilitation
  • Oklahoma Health Network
  • OSMA
  • Preferred Community Choice
  • Secure Horizons Medicare Replacement
  • SoonerCare
  • Stillwater Collaborative Care
  • Tricare
  • Web TPA

If Hearts for Hearing is not an in-network provider for your health insurance company, please read more about our financial assistance program to see if your child might qualify or call our office for our cash prices.

For Students

We offer observation opportunities for students of Speech-Language Pathology and Audiology. Observation spots fill quickly so the earlier you get on the schedule the better.

Speech-Language Pathology Students

Students who are interested in observing an ASHA certified speech-language pathologist should contact Abby Brett.

Audiology Students

Students who are interested in observing an ASHA certified audiologist should contact Mila Duke.


We offer two fourth-year externship opportunities for audiology students.

Pediatric & Cochlear Implant Clinic Externship

The deadline for the 2020-2021 externship year has passed. Information for the 2021-2022 year will be posted soon. For questions, please contact Mila Duke.

Adult Clinic Externship

We are now accepting applications for this position for the 2020-2021 year.  Applications and forms below are due by October 1st, 2019. For questions, please contact Rachel Magann Faivre.

Physicians & Healthcare Providers

Would you like more information on the services and resources available at Hearts for Hearing? We welcome opportunities to inform you and your staff. Just let us know your questions or interests, and we will be happy to present to your team in your facility.

Common Topics of Interest
  • How the hearing system works and what testing and treatment options are available
  • How is hearing related to the rest of the body: A dive into co-morbidities and treating the whole person
  • How tinnitus is generated and what testing and treatment options are available
  • How are dizziness, vertigo, and imbalance related to ear health?
  • How do cochlear implants work and who is a candidate?
  • What hearing aid and other non-traditional hearing technologies are available and how well do they work?
  • What are the protocols for monitoring hearing during chemotherapy and radiation treatments?
  • What to do when a child is has symptoms of hearing loss or speech concerns
  • What resources you can give your patients, their loved ones, and parents with hearing, tinnitus, balance, or speech concerns?
  • Is there another topic you would like information on? Please reach out and we'll be happy to answer your questions!
Helpful Links for Physicians & Healthcare Providers:

Are you a physician or healthcare provider who would like to collaborate with us? Please contact us to learn more about our referral network.


Donations help give children with hearing loss the opportunity to learn to listen and talk.