Become a Patient

If you are interested in participating in our program, please download and fill out the New Patient Application and return to our office. You may either email or return via US mail to 235 Bloomfield Dr., Ste 108, Lititz, PA 17543. 

Read more about our program here.

A&E Hearing Connection does not operate a walk-in clinic. Please contact our office to schedule an appointment. 


How it Works

Step 1

Fill out a new patient application including proof of financial eligibility

Download application → 

Step 2

Be willing to complete volunteer service hours

Learn about our circle of giving →

Step 3

Return completed application to our office and contact us to schedule an appointment

Contact us → 


A&E Hearing Connection complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.