Make an Appointment
If you have questions and would like to be contacted by KHC, please provide the following information:
First Name:
Last Name:
Daytime Phone:
Evening Phone:
Best time to be contacted:
a.m.
p.m.
Email Address:
I am interested in a hearing evaluation for (check all that apply):
Senior
Adult
Infant/Child
Myself
Family
Specify:
Suspected Hearing Loss
Dizziness
Balance Problem
Hearing Aid Services
I am interested in these services (check all that apply):
Hearing Aids
Hearing Aid Batteries
Hearing Aid Repairs
Type:
Ear Plugs
(239) 263-8855
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