Step-by-Step Purchase Process
to Buying Hearing Aids from HearSource
Buying hearing aids from anywhere, including HearSource, requires that certain FDA rules and regulations be adheard to. The following step-by-step process meets FDA regulations. Purchasing hearing aids from HearSource is easy and convenient. If you have any questions or need assistance with the hearing aid purchasing process, please call toll-free at 1-800-416-2434. We'll guide you through the process.
1. Have your hearing tested by a local hearing care provider.
About the hearing test requirement. Federal law requires that every person, prior to being fit with hearing aids, must have their hearing tested by a hearing professional. Please ask for a copy of your hearing test results (or audiogram) be provided to you. Be prepared for the local hearing professional to try to sell you their own hearing aids. Please decline their invitation. Federal regulations require that we obtain a hearing test that is less than 6 months old prior to dispensing any hearing aid. This policy ensures that the hearing aid we recommend is appropriate for your hearing loss and the prefit sound settings created by us for you are as accurate as possible.
Under federally mandated HIPAA regulations, health care providers must provide you with copies of certain documents upon your request, including Medical Exam / Clearance forms and hearing test results / audiograms.
1. Obtain "Medical Exam / Clearance" from your physician OR sign a "Medical Exam Waiver".
2. If you do not want a medical examination, Federal law allows for a
fully informed adult (18 years of age or older) to sign a "Medical Exam Waiver" declining the medical evaluation.
Click to download a PDF of Medical Exam Waiver Statement
Federal law requires that any person, prior to being fit with hearing aids, must obtain either a Medical Exam / Clearance from a licensed physician or sign a Medical Exam Waiver form declining the exam. We will Email, fax, mail, to you or your doctor directly, a Medical Exam Clearance form, or you may download the Medical Exam Waiver form from our website for you to sign.
Medical Exam Waiver Statement
I have been advised by HearSource.com & any or all of their representatives, that the Food and Drug Administration has determined that my best health interest would be served if I had a medical evaluation by a licensed physician ( preferably a physician who specializes in diseases of the ear ) before purchasing a hearing aid.
I do not wish a medical evaluation before purchasing hearing aids.
Waiver Signature ________________________ Date __________
In addition to placing your order, by signing the above line, you are also stating that you are age 18 years of age or older, you have read and understand the required F.D.A. notice and have made an informed decision to purchase hearing aids without being seen by a physician. Additionally, By purchasing hearing aids from HearSource.com you agree that you are the person that will be the end user and wearer. You also agree that the reason for purchasing hearing aids from HearSource.com is for the purpose of personal use only and not for competitive research, resale or any other reason. That you have read and agree to the "Terms & Conditions of Purchase".
Send us the medical clearance / script or signed medical exam waiver statement and a hearing test that is less than 6 months old.
Fax, Email, or Mail us a copy of your Medical Clearance form, Script or Medical Exam Waiver Statement and Audiogram.
Fax it to us at: (765) 522-3551 or email us MedRecords@HearSource.com
or Mail it to us at: HearSource Med Records
102 Northfield Drive East
Bainbridge, IN 46105
We'll complete the paperwork and call you to complete the transaction. A HearSource professional will review your paperwork. We will then call you to discuss which hearing aid model is best suited to your individual hearing needs.
The financial transaction will be completed using either Visa, MasterCard, Discover or Check by Phone for payment.
We will Fax, Email or Mail back to you your purchase receipt.
We reserve the right to refuse to sale any hearing aids for any reason to anyone. By purchasing hearing aids from HearSource.com you agree that you are the person that will be the end user and wearer. You also agree that the reason for purchasing hearing aids from HearSource.com is for the purpose of personal use only and not for competitive research, resale, or any other reason.
That you have read and agree to the "Terms & Conditions of Purchase".
We'll build & ship your hearing aids
We will then build and pre-program your new HearSource hearing aids to your specifications. This process usually takes 3 to 5 business days. Your new hearing aids and accessories will then arrive via FedEx mail at your home with easy to understand instructions.
Call us for an appoinment with a HearSource Coach for fine tuning advice & technical support.
Buying a hearing aid is not like buying a refrigerator or a lamp. Getting the most out of your hearing aids will require professional support. The entire staff at HearSource is here for you to answer any questions and assist you with adjusting/ programming advice and technical support.
Call 1-800-416-2434 Monday thru Friday 9 a.m. to 5 p.m. Eastern time (U.S.)