5
Your hearing aids
Hearing healthcare professional: _______________
___________________________________________
Telephone: _________________________________
Model: _____________________________________
Rechargeable option
Serial number: ______________________________
Replacement batteries:
Size 675 or
Size 13 ( Rechargeable)
Warranty: __________________________________
Program 1 is for: _____________________________
Program 2 is for: ____________________________
Program 3 is for: ____________________________
Program 4 is for: ____________________________
Date of purchase: ____________________________