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Become A Patient

Become A Patient!

If you're interested in becoming a patient of the Algoma Hearing Centre, fill out the form below. We will get back to you as soon as we can!

Name*
First Last
Phone*
Email*
Reason for Inquiry
Preferred Method of Contact
Name
This field is for validation purposes and should be left unchanged.

Save time at your first appointment by filling out the form below!

Download Patient Intake Sheet (PDF)