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.

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

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

About this resource

Publication date:
Publication type:
Form
Language:
English
Part of a collection:
Hearing Services Program provider resource collection
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