Phone: 516-690-0202 | Fax: 516-665-6943 | Email: santonellis59@gmail.com
Hear Clearly
Dr. Susan Antonellis
Pre-Appointment Forms
Please fill out and bring the forms with red icons and any other form that might apply, along with your insurance card, to your confirmed appointment.
Adult Audiological History
HIPPA Privacy
Registration
Pediatric Audiological History
Release Authorization
Medical Clearance