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WWW.MDHearingAid.com FOR YOUR RECORDS Customer Name: Hearing Aid Model: Order ID No: Hearing Aid #1 Serial Number: Purchase Date: Hearing Aid #2 Serial Number: Purchase Date: TABLE OF CONTENTS 1.

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How to fill out your hearing aid questions

How to fill out your hearing aid questions:

01

Start by gathering all the necessary information about your hearing aid. This includes the make and model, serial number, and any other relevant details.

02

Carefully read through the questions on the form. Take your time to understand what information is being requested.

03

Fill in the answers to the questions accurately and honestly. Provide any additional details or explanations if required.

04

If you come across any questions that you are unsure about or do not have the information for, it is important to seek assistance. Contact your hearing aid provider or audiologist to clarify any doubts or obtain the necessary information.

05

Double-check your answers before submitting the form to ensure accuracy.

06

Keep a copy of the completed form for your records.

07

Once the form is filled out, follow the instructions provided for submitting it. This may include mailing it to a specific address or submitting it electronically.

08

It is important to note that not everyone needs to fill out hearing aid questions. Generally, individuals who have or are planning to use a hearing aid may need to complete these forms. This could include people with hearing loss, individuals seeking professional assistance for their hearing needs, or those looking to purchase a new hearing aid.

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