What Is The Patient Care Audit?
This questionnaire is designed to help you assess the services you provide after a hearing instrument fitting. 

Please fill out the form below to do a free audit to see how well your office is regarding personal care and follow-up for your patients.
Patient Care Audit Form

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Enter Your Information

In Your Office, Do You...

Yes
No
Yes
No
Yes
No
Yes
No
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Option 2
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No