Diagnostic testing, verified hearing aid fittings, tinnitus care, earwax removal, and protection, all delivered by a Doctor of Audiology in one office.
Clinical care, not a product counter
Every service below starts from measurement and ends with a plan you understand. That order matters. When testing comes after the product decision, patients end up wearing devices that were never matched to their hearing.
Appointments are scheduled long enough to test properly, explain the audiogram, and answer the questions you actually came with. If a medical condition is suspected, we coordinate with your physician or an ear, nose, and throat specialist rather than proceeding on our own.
What we do
Services in detail
Comprehensive hearing evaluations
A full diagnostic workup, not a quick screening. Air and bone conduction testing, speech understanding in quiet and in noise, and middle ear measures, reviewed with you the same visit.
A diagnostic evaluation is the foundation of everything else. Without it, any device recommendation is guesswork.
The appointment covers case history and noise exposure, otoscopic inspection of the canal and eardrum, pure tone air and bone conduction thresholds, speech reception and word recognition scores, speech in noise testing, and tympanometry to assess middle ear function. Acoustic reflexes and otoacoustic emissions are added when the clinical picture calls for them.
You leave with your audiogram explained, a written summary, and a clear answer about whether treatment is indicated. When results suggest a medical cause, such as sudden loss, asymmetry, or drainage, we coordinate a physician referral rather than fitting a device.
Hearing aid fittings and programming
Devices are selected for your hearing loss, your ears, and your daily listening life, then programmed to a prescription target and adjusted over follow up visits.
Selection starts from your audiogram, your ear anatomy, your dexterity, and the listening situations that actually matter to you. A retiree who plays bridge twice a week and a contractor on job sites need different solutions.
At the fitting, devices are programmed to prescriptive targets, verified with real ear measurement, and demonstrated in live speech. You learn insertion, charging, phone pairing, and app control before you leave. Follow up visits at defined intervals fine tune the response as your brain adapts.
Adaptation is real and it is gradual. Sounds you have not heard in years, including your own footsteps and the refrigerator, come back first. Speech clarity improves over the following weeks as the auditory system recalibrates.
Real ear measurement
A tiny probe microphone measures what the hearing aid actually delivers inside your ear canal. Without it, a fitting is an educated guess.
Real ear measurement, also called probe microphone verification, is the difference between a device that is turned on and a device that is fitted.
A soft probe tube rests in the ear canal beside the hearing aid while calibrated speech is played. The system graphs what your eardrum actually receives against the prescription target for your loss, and the audiologist adjusts gain until the two match across frequencies.
Industry surveys have long shown that many dispensers skip this step. Clearwave performs it on every fitting and again whenever programming changes materially.
Tinnitus management
Ringing and buzzing get a structured plan: evaluation, sound therapy options, device based relief, and counseling that helps your brain stop tracking the sound.
Ringing, buzzing, hissing, or roaring with no external source affects a large share of adults, and it often travels with hearing loss.
Evaluation looks for treatable contributors, from cerumen impaction and middle ear problems to medication effects and asymmetry that warrants imaging. From there, management is built to fit the person: sound therapy through devices or bedside generators, amplification when hearing loss is feeding the perception, sleep hygiene work, and counseling grounded in habituation.
Nobody can promise silence. A well built plan can move tinnitus from the center of your attention to the background, which for most patients is the outcome that changes daily life. Read more about our tinnitus treatment options.
Earwax removal
Safe removal under direct visualization. Impacted wax is one of the most common and most reversible causes of sudden muffled hearing.
Impacted cerumen is one of the most common and most reversible causes of muffled hearing, ear fullness, and a hearing aid that suddenly stops working.
Removal is performed in office under direct visualization, with the method matched to the wax and to the condition of your canal. Most appointments take only a few minutes, and hearing improvement is immediate when wax was the cause.
Skip the cotton swabs and the candles. Both cause more impactions and injuries than they solve.
Custom ear protection
Impressions taken in office for musicians, hunters, swimmers, shift workers, and anyone protecting the hearing they still have.
Noise induced hearing loss is permanent and almost entirely preventable. Custom protection works because it seals properly and stays comfortable enough to actually wear.
Ear impressions are taken in office for musician monitors with flat attenuation filters, hunting and shooting protection, swim molds, sleep plugs, and industrial protection for shipyard, marine, and construction work.
If you already have measurable high frequency loss, protection becomes even more important. Preserving what remains is cheaper and better than amplifying what is gone.
Ongoing hearing aid maintenance
Cleanings, retubing, receiver changes, software updates, and remapping as hearing changes. Care continues long after the fitting appointment.
Hearing aids live in a warm, humid, waxy environment and they need service. Maintenance is included in the care plan rather than billed as a surprise.
Visits cover deep cleaning, wax guard and dome replacement, receiver and tubing changes, moisture treatment, firmware updates, and reprogramming when your hearing shifts. Annual retesting keeps the prescription current.
Devices bought elsewhere can often be serviced and reprogrammed here as well. Call the office with the brand and model and we will tell you honestly whether it can be supported.
Your first visit
What a diagnostic appointment looks like
Case history and goals
We talk through when you first noticed a change, which situations are hardest, your noise exposure, medications, and ear health history. Bring a family member if you can.
Ear inspection
Otoscopy checks the canal and eardrum. Wax is removed the same day when it is blocking accurate testing.
Diagnostic testing
Pure tone thresholds by air and bone, speech recognition in quiet and in noise, and middle ear measures, performed in a sound treated environment.
Results, explained
Your audiogram goes on the screen and gets translated into plain language: which sounds you are missing, why speech blurs, and what the pattern suggests about cause.
The plan and the numbers
If treatment is indicated, you get options at different technology levels with itemized pricing in writing. If it is not, you get a recheck interval and protection guidance instead.
No treatment is not a failed visit
Some patients arrive convinced they need devices and leave with a wax removal and a recheck date. Others need a physician referral first. Saying so is part of the job.
What happens during a comprehensive hearing evaluation?
A comprehensive hearing evaluation takes about an hour and includes a case history, an ear canal inspection, air and bone conduction testing across speech frequencies, speech recognition testing in quiet and in background noise, and middle ear measures such as tympanometry. The audiologist reviews the audiogram with you in the same visit and explains what the results mean for daily listening.
Is a hearing screening the same as a diagnostic hearing test?
No. A screening only sorts people into pass or refer using a few tones. A diagnostic evaluation measures the degree, type, and configuration of hearing loss in each ear, tests how well you understand speech, and checks middle ear function. Only a diagnostic evaluation supports a treatment plan or a hearing aid prescription.
How is earwax removed safely?
Cerumen is removed in office under direct visualization using curettes, gentle suction, or irrigation, depending on the consistency of the wax and the health of your ear canal. It takes a few minutes in most cases. Cotton swabs and over the counter kits often push wax deeper, which is why impaction is so common.
Can anything be done about tinnitus?
Yes. Tinnitus is rarely curable, but it is very often manageable. Management begins with an audiologic evaluation to rule out treatable causes, then combines sound therapy, hearing aids with tinnitus features when hearing loss is present, sleep and attention strategies, and structured counseling that reduces how much the sound intrudes.
What is real ear measurement and why does it matter?
Real ear measurement places a thin probe microphone in your ear canal next to the hearing aid and measures the sound level actually delivered to your eardrum. Ear canals differ enough that manufacturer software predictions can miss prescription targets substantially. Verification is the step that turns a hearing aid into a fitted medical device.
Get a real answer about your hearing
One appointment, a full diagnostic workup, and a plain language explanation of what your ears are doing.