Give the Gift of Hearing and Balance

Important Notice

As you know, the Registry works to update all of our donors' files every three years.  It is extremely important that we have updated contact information for you on file here at the Registry. 

The most important reason for updating your donor file is to be sure we have your most up-to-date otologic records.  This greatly increases the value of your donation. 

Please take a minute to look over the list below and see if any of the following pertain to you.

Please be sure to contact us by phone, mail, fax, or email if:

Your address has changed in the last three years

Please be sure to fill out both of the forms located at the bottom of the page and forward them to the Registry if in the last three years:

1)  You have married and your name has changed

2)  Your next of kin information has changed (the designated person, their address or their phone number)

3)  You have visited an ear, nose and throat physician 

4)  You have visited an audiologist 

5)  You have been tested for a hearing aid

6)  You have had balance tests performed

7)  You have had ear surgery

8)  You have had an MRI or CT Scan of your temporal bone

9)   You have received treatment for an otologic disorder

10) You have not previously sent your updated forms back to the Registry

The forms can be forwarded via mail, fax or email:

These forms can be mailed to: 

The NIDCD National Temporal Bone Registry

243 Charles Street 

Boston, MA 02114

Faxed to:

(617) 573-3838

Emailed to:

tbregistry@meei.harvard.edu

Printing the above forms from this web site. Some of the forms available from this website are Portable Document Format (PDF) files. You must have Adobe Acrobat Reader to open, read and print these forms. If do not have Adobe Acrobat Reader you can obtain it free, from Adobe Products at  www.adobe.com. On the home page of Adobe you will see the following image/button. Click this button on the Adobe page and you will be walked through the steps to acquire Adobe Acrobat Reader.