44
45
Patient feedback
Record your specific needs or concerns and bring to
your first office visit after getting your hearing aids.
This will help your hearing healthcare professional
to address your needs.
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Additional notes
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________