Tinnitus History
Questionnaire

Please print and complete this form and bring it with you to your appointment.

Hearing Wellness Center

1525 London Road
Duluth, MN, 55812

Office Hours:
Mon-Fri: 9am - 4:30pm
Closed 12pm - 1pm daily for a "Wellness Hour"

417 Skyline Blvd
Cloquet, MN 55720

Office Hours:
Wednesday
By appointment only

677 Anne St NW, Suite G
Bemidji, MN 56601

Office Hours:
Mon-Thurs: 9am - 4pm
Closed 12pm - 1pm daily for a "Wellness Hour"

15 NE 5th Street
Grand Rapids, MN 55744

Office Hours:
Thursday
By appointment only

Why wait? You don't have to live with hearing loss.