Publications

Hearing Services Program private services and devices acknowledgement form

Use this form to record a Hearing Services Program client’s acknowledgement that you have informed them of their options under the program before they buy private services or devices.

Downloads

Hearing Services Program private services and devices acknowledgement form (effective from 1 July 2025)

Providers must use this updated form from 1 July 2025, however you can use this form sooner.

Hearing Services Program private services and devices acknowledgement form

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date:
Date last updated:
Publication type:
Form
Audience:
Health sector
Language:
English
Description:

You can adapt this form, but it must include the specified information.

Part of a collection:
Hearing Services Program provider resource collection
Tags: 

Help us improve health.gov.au

If you would like a response please use the enquiries form instead.