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ENGLISH
FOLLOW-UP VISITS
Seeing your hearing health specialist for follow up care is very important.
A semiannual checkup and cleaning is essential to maintain the quality of
performance expected of your hearing instrument. Use the record below
to keep track of your visits to the hearing health specialist and any follow
up care he or she may suggest.
Date of visit:
________________________________________________
Reason for visit:
_____________________________________________
Comments:
__________________________________________________
Date of visit:
________________________________________________
Reason for visit:
_____________________________________________
Comments:
__________________________________________________
Date of visit:
________________________________________________
Reason for visit:
_____________________________________________
Comments:
__________________________________________________
Date of visit:
________________________________________________
Reason for visit:
_____________________________________________
Comments:
__________________________________________________
Date of visit:
________________________________________________
Reason for visit:
_____________________________________________
Comments:
__________________________________________________
