Cognivue Screening Form - Syracuse Hearing Solutions

Syracuse Hearing Solutions is pleased to offer you and your family the most advanced in cognitive function technology, the Cognivue screening.

After a quick 5-10 minute self-administered screening, we will have a better idea of your ear-to-brain processing.

WHY COGNIVUE?

Cognitive screening is often performed too late. Through routine cognitive checks, you can identify changes in cognitive function when early detection and proper management can make a difference.
We are going to take an “ear-to-brain” approach that will help us get an idea of how your brain is processing sound.

THE OUTCOME

After your Cognivue screening, we have a better understanding of your hearing loss, how your brain processes sound, and how to best recommend treatment for you.

Select your choice:

I elect to take the Cognivue screening in order for my Audiologist to get a better overall picture of my ear-to-brain health. I understand that the Cognivue screening is not insurance billable at this time.

I would like my audiologist to give me more information about the Cognivue during our appointment.

I decline to have the Cognivue screening today.

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