Request Appointment Home » Resources » Request Appointment Posted on June 9, 2019 by Northwest Ear Institute Request An Appointment To request an appointment or to connect with our team, please complete the form below. Our team will contact you during our regular business hours. For a medical emergency, please call 911. Name*Email* Phone*I would like more information about:*Make an Appointment – New PatientMake an Appointment – Existing PatientQuestions about Hearing AidsQuestions about Hearing LossAdmin/Billing QuestionsOther Please prove you are human by selecting the Icon