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SOUTH SHORE HEARING CENTER 541 Main Street Director/ Clinical Audiologist MEDICAL HISTORY FORM P.O. Box 134 Name of Patient: Today's Date: David Citron, III, Ph.D. (781) 3376860 So. Weymouth, MA 02190
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South Shore Hearing Center is a hearing aid center that offers services such as hearing tests, fitting and maintenance of hearing aids, and hearing loss management.
Patients who have visited the South Shore Hearing Center and/or received services from the center may be required to file relevant paperwork or documentation.
To fill out South Shore Hearing Center forms, patients may need to provide personal information, details about their medical history, insurance information, and information about the services they received.
The purpose of South Shore Hearing Center is to provide quality hearing aid services, improve the hearing health and quality of life of patients, and promote overall hearing wellness.
Information that may need to be reported on South Shore Hearing Center forms include patient demographics, medical history, hearing test results, details about hearing aid fittings, and insurance information.
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