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General
Your hearing aid
(To be filled out by the hearing care professional)
Date:
__________________
Battery type:
__________________
Ear-set:
❑
Earmould
❑
Instant ear-tip
❑
Custom ear-tip
Ear-tip size:
Left______ Right______
Tubing size:
Left______ Right______
Listening programs
Chosen program position
Master
Acclimatisation
Music
TV