SAN CARLOS: 1008 Laurel StreetSAN MATEO: 88 N. San Mateo Drive650-342-9449

What to Expect

A Patient's Journey to Better Hearing, Step by Step

Six steps, from the first phone call to the follow-up visits. Most people who ring us have been putting it off for a year or two, and what they want to know before they book is what actually happens in the room. So here it is, in order.

What to Expect

This is the path most patients at California Hearing Center follow, from the moment they reach out through the ongoing care and training that keep them hearing their best. We encourage your family to come along, both to support you and because a hearing loss affects the people around you too. Not everyone goes through all six. Some people need reassurance and monitoring and nothing more.

Both offices, San Mateo and San Carlos, run it the same way.

At a glance

  • Nothing is decided at the first visit. The evaluation and the results discussion usually fit into one appointment, and you can stop there.
  • Every recommendation rests on your audiogram, and we go through the audiogram with you before recommending anything.
  • After the fitting we run Listen Up Now classes and enroll patients in LACE, clEAR and 5 Keys Communication.

Step one: the first call

It starts with a conversation. When you contact us, we listen to what prompted the call, whether it is a struggle in restaurants, a family member's concern, or ringing in your ears, and help you choose the right kind of appointment and the most convenient office. There is no obligation, just a plan for the first visit.

Step two: the hearing evaluation

At your appointment we take a history, examine your ears, and complete a hearing evaluation that builds a specific profile of your hearing, measuring not just the softest sounds you detect but how much speech you catch, how much you miss, and how you do against background noise. It also tells us whether you should be referred to a physician for medical follow-up.

Step three: discussing your results

Our hearing doctor walks you through your results in plain language, shows you your audiogram, and talks through the specific situations where you struggle and what matters most to you. From there we recommend a plan. You leave understanding your own hearing, and if something needs medical attention, we guide you to the right referral.

Step four: choosing technology

If hearing aids make sense, we match options to your hearing profile, lifestyle, dexterity, cosmetic preferences, and budget rather than pushing a single product. We also explain devices and accessories that connect directly to your phone or television for streaming and adjustment. Explore the range of hearing aids to see what is possible.

Step five: fitting and verification

At the fitting, we program the devices to your prescription and use real-ear verification to confirm they deliver the right sound in your actual ears, not just in theory. Well-fitted devices make soft speech audible and take some of the strain out of hearing in noise.

Step six: follow-up, classes, and training

Your brain needs time to readjust to a fuller range of sound, so the first weeks matter. Beyond fine-tuning appointments, we offer informal Listen Up Now education classes on hearing health, device care, and practical communication, plus auditory training through LACE, clEAR and our 5 Keys Communication program. Adjustments stay available for as long as you wear the devices.

An audiogram with the speech banana markedA chart with frequency from 250 to 8000 hertz along the bottom and hearing level from 0 to 120 decibels down the side. A shaded band curves from the upper left to the lower right, marking where the sounds of ordinary speech fall. Vowels sit at the low-frequency end and consonants at the high-frequency end, which is why a high-frequency loss removes clarity before it removes volume.0204060801001202505001k2k4k8kvowelss · f · thFrequency (Hz) — low pitch to high pitchHearing level (dB HL)
Where conversation lives on the chart. The shaded area is the speech banana; a hearing loss that dips below it on the right takes the consonants out of speech first.
First call & planningComprehensive evaluationResults in plain languageTechnology matched to youVerified fittingClasses & auditory training

Frequently asked questions

A few questions worth asking

Do I have to buy hearing aids if I come in?

No. The first steps are about understanding your hearing and your options. Many people come in for answers and monitoring, and hearing technology is only recommended when it genuinely fits your needs and goals.

How long does the whole process take?

The initial evaluation and results discussion often happen in a single visit. If you move forward with hearing aids, fitting follows, and adjustment usually unfolds over the following weeks as your brain adapts, supported by follow-up visits, classes, and auditory training.

What if my results show I do not need hearing aids?

That is a good outcome. We will explain what we found, offer guidance or monitoring if appropriate, and make sure you know what signs to watch for. You leave with clarity either way.

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