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Hearing Test Appointment Request

Complete the following form to request a hearing test (audiometric screen) appointment.  Please note that a completed form does not constitute a booked appointment.  A Health and Hearing Conservation Consultants representative will be in touch with you via the contact information provided to finalize all appointment details.  You can also phone to book your appointment by calling: 1-877-920-TEST(8378)

Client Information


Company Information


Appointment Details

  • Appointments should be scheduled between 8:00am and 4:30pm, Monday - Friday. After hours rates will apply for emergency testing required outside of these times.
  • Regular business hours are Monday-Friday 8am-5pm. Appointments that are required to be scheduled outside of this time will be subject to after hours rates.

Requested Testing



Schedule Your Appointment