NexGen Hearing

Squamish Hearing Clinic


The Squamish Hearing Clinic is a full service and full-time hearing aid and hearing health centre. We pride ourselves on helping our clients who might be experiencing tinnitus, muffled hearing or possible hearing loss. There are many types of hearing loss including sensorineural, conductive or even a mixture of these conditions. A hearing test at Squamish NexGen Hearing can determine the nature and degree of your hearing loss. We offer free hearing tests, a 21 day no-money down trial, 90 day money back satisfaction guarantee and will price match any valid competitor quote or advertised price on the same make and model of hearing instrument. You can expect us to deliver the highest level professional hearing aid care at every level. We build strong relationships and gain trust with our clients. We encourage family members to take part in their loved one’s journey to better hearing. At Squamish Hearing Center we are delighted to be a part of this vibrant community, and look forward to meeting you!

90 day trial and air miles

Schedule a *Free Hearing Test 

*Exclusions to free hearing tests include: pediatric hearing tests, employment requirement testing and specialized testing requirements. 

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Mandy Fisch

Mandy Fisch


Mandy Fisch, Registered Audiologist and owner of NexGen Hearing, West Vancouver, is now the new owner of the Squamish Clinic at Elaho Medical. Dr. Amy Koza is excited to transition ownership to Mandy, who is well-equipped to support the communities’ needs, with the additional resources of her West Vancouver clinic.

Full Bio

Mandy Fisch holds a Master of Science (with Honors), as well as Bachelor of Science in Logopaedics (Audiology and Speech Pathology) at the University of Cape Town (UCT), South Africa. She worked at UCT Logopaedics Department as a clinician, Audiology lecturer and clinical supervisor in Audiology for seven years, before moving to Vancouver in 2002.

Mandy is certified by the Canadian Academy of Speech Language Pathologists and Audiologists (CASLPA) and is registered with the College of Speech and Hearing Health Professionals of British Columbia. Mandy has worked in private practice in Vancouver and West Vancouver since 2004. Her goal has always been to provide comprehensive and stellar hearing healthcare services, whilst working very closely with physicians and Ear, Nose and Throat Specialists on the North Shore. Mandy recognizes the importance of communication and is passionate about reaching out to individuals or communities with hearing healthcare needs. This is evident by the work she has done in the community to educate the public about hearing health and awareness. In addition to her work, she has been a volunteer Wish Grantor with the Make A Wish Foundation of BC for over 10 years and loves travelling, adventure and spending quality time with family and friends.

Dr Ramia Naranyan

Dr. Ramia Narayan 


Ramia Narayan graduated with a Doctorate in Audiology from Northeastern University in Boston, Massachusetts. She has been practicing for the past 8 years and patient care and comfort is her top priority. She is passionate about hearing and understands the diverse needs of her patients. Ramia believes the most important step with aural rehabilitation is the follow-up care after hearing aid fittings, and is committed to making the transition as easy as possible for her patients.

Full Bio

When she is not assisting NexGen Hearing clients, Ramia loves spending time with her family cooking with her kids and is a professionally trained dancer in classical Indian dance.

Jocelyn Romano

Jocelyn Romano

Customer Care Representative and Audiometric Technician

Jocelyn joined the NexGen Hearing team in Squamish in 2015 as a Customer Care Representative. Born and raised in Squamish, she has grown up enjoying all the outdoor recreational capital of Canada has to offer. Jocelyn enjoys living in a small town surrounded by the mountains and is very pleased to have initiated her career in this same town.

Full Bio

Jocelyn completed her certificate as a MOA (Medical Office assistant) in 2016. She comes into the medical service field honestly, as many of her family members are in the same field, and this is evidence the second you meet her, she displays the qualities of customer service, efficiency, and diligence naturally, she runs our busy office effortlessly, and we know you will love her every bit as much as we do! Jocelyn’s ambitious nature let her to become certified as an Audiometric Technician in 2017, undergoing her training under Amy Koza. This enables her to test patients’ hearing, perform earmold impressions, perform performance checks on hearing aids, and service hearing aids. She greatly enjoys working in a clinical atmosphere; her job as a CCR and Audiometric Technician offers her the ability to run a clinic that minimizes paper and environmental impact, a passion of hers, as well as be involved in patient care. Jocelyn is a valued member of the team. You will look forward to her warm smile and friendly greeting when you visit our clinic.



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Squamish hearing clinic

Frequently Asked Questions

How often should I have my hearing tested?

Hearing loss impacts everyone differently and can occur at any age and for a variety of reasons. Age-related hearing loss occurs due to changes in the structure of your inner ear although changes can also occur in your middle ear. As such, the National Campaign for Better Hearing recommends a baseline hearing test at 60 years of age, although a baseline hearing test is recommended to serve as a reference point at any age.

After your initial baseline hearing test, if you are 60 years or older, you should have your hearing tested on an annual basis. You can have your hearing tested for free at the Squamish Hearing Clinic. Schedule your free hearing test with us today.

How do I know if I need a hearing aid?

Here, at the NexGen Hearing Center in Squamish, we help you every step of the way in deciding if a hearing aid is best for you. We will conduct a free hearing test to determine if you currently have hearing loss. Once the hearing test has been completed, we will help you ascertain how much your hearing loss (if any) is affecting your daily life and/or activities. If you can’t hear as well as you could in the past several aspects of your life could be impacted. Hearing loss can gradually increase without us even realizing, which lends weight to the idea of consistently having your hearing checked.

Our Squamish audiologists are experienced in treating a variety of levels of hearing loss and their effects. Don’t go another day wondering if your hearing could be improved. Let our experts help you improve your hearing to its highest levels.

What are the best hearing aid brands?

Choosing the right hearing aid brand is very important to ensure your device is a reliable, effective, and safe. The best brand for you is often dependent on numerous factors relative to your specific situation. There is no one best brand of hearing aid as each case is different. That being said, choosing a well known and trusted brand within the medical community is a good path to take for peace of mind. NexGen Hearing partners with only the highest quality hearing aid manufacturers in the world. Resound, Phonak, and Oticon are only a few of our partners dedicated to providing you with the best hearing possible. Consult with one of our NexGen Hearing audiologists to find out which one works best for you.

How much do hearing aids cost?

Hearing aid prices vary from several hundred dollars up to a few thousand, and it all depends on the advancement of the technology used in each device. Affordable hearing aids as well as more expensive options come with different features. You can think of hearing aids as coming in levels of “gold, silver, or bronze.” If your listening needs are simple, it just might be that even the most basic hearing aid is enough for you. If your life is more active and you find yourself wanting to hear better in more active and noisy listening environments, then a more sophisticated level of hearing aids features will give you more benefit. NexGen Hearing also offers financing options to help you with an affordable option to improve your hearing. Learn more about our lease to hear financing and other hearing aid financing options.

How long do hearing aid batteries last?

The life of a hearing aid’s battery is impacted by many factors such as the hearing aid model, battery brand, battery technology, and how the device is used. The model of the hearing aid is integral in determining the life of the battery. Some hearing aids are better than others in relation to battery consumption while others offer features that will more quickly drain a battery. Batteries come in four common sizes (10, 312, 13, 675). Based on a 16 hour day of wear, the average lifespan for a standard battery is listed below:

  • Size 10: 3 – 7 days
  • Size 312: 3 – 10 days
  • Size 13: 6 – 14 days
  • Size 675: 9 – 20 days

If you prefer, rechargeable hearing aid batteries are also available for certain models of hearing aids that greatly improve the ease of replacing your batteries. Consult with your Squamish hearing aid practitioner for additional details.

Squamish Client Reviews

Johanne Coucke
Johanne Coucke
18:40 13 Mar 20
Edward G R Cole
Edward G R Cole
05:56 01 Feb 20
Chris Thevarge
Chris Thevarge
15:11 31 Dec 19
Mary Jo Tewinkel
Mary Jo Tewinkel
01:50 28 Nov 19
Lyn Mckiey
Lyn Mckiey
21:50 06 Aug 19
Helped me update my hearing device. Set me up with telephone device.
Alyssa Salloum
Alyssa Salloum
19:17 20 May 18
I am writing this for my Mom- she does not have a Gmail account. Amy and her team at NexGen have taken very good care of my Mom. They are very diligent and thorough. My Mom always has such a pleasant experience and always looks forward to seeing the smiling faces of the staff. Wouldn't take my Mom anywhere else!
Keegan Moore
Keegan Moore
18:32 17 May 18
Amy fit my Grandfather with hearing aids about 6 months ago, and the difference we as a family have noticed is incredible. My Grandfather is so much happier, and more involved in conversation. We were all nervous, as hearing aids are not a "fun" thing to need, but Amy and her team made the process so easy. I highly recommend!!
p chew
p chew
19:02 05 Nov 17
Amy has been extremely helpful sorting out my hearing issues. She has been very hands on with my hearing aids. I feel that she has her clients' best interests at heart and is willing to go the extra mile. Thank you Thank you Amy
Next Reviews

Types of Hearing Loss

The various types of hearing loss include sensorineural, conductive, and at times a combination of these. A hearing test at the Squamish Hearing Clinic can diagnose the type and degree of hearing loss that you or a loved one might be experiencing. A hearing loss between 16-25 dB is considered minimal, similar to lightly plugging one’s ears. The next level is mild hearing loss (26-40dB) which can cause problems with hearing the ends of some words or completely missing some shorter words. It can be a challenge to differentiate conversation from background noise, and hearing aids are often recommended for this level of hearing loss. Moderate hearing loss (41-55 dB) can make talking on the phone a challenge, and also result in as much as a 50% decline in the ability to understand speech from more than five feet away. Moderate hearing loss can sometimes lead to feelings of seclusion and disconnection. If symptoms are more problematic than any of these, it is possible you could be experiencing a severe or even profound degree of hearing loss. Either of these two can lead to dramatic quality of life concerns. In addition to all the above-mentioned conditions, many individuals struggle with high-frequency hearing loss, affecting the ability to hear sounds in the range of 1500Hz-8000Hz. While speech and most other sounds will be perceived as being loud enough, the ability of one’s ability to understand speech is affected. Any significant background noise will noticeably exacerbate the problem. But the newer types of listening devices, such as open fit and receiver-in-the-canal, are helpful with this condition. These designs permit lower frequency sounds to pass into the ear canal normally, while amplifying and enhancing higher frequency sounds, making speech clearer.

Meet Your Hearing Professional