Hearing instrument purchase agreement 2026

1. Click ‘Get Form’ to open the hearing instrument purchase agreement in the editor.
2. Begin by entering your business or clinic name at the top of the form, followed by the address and contact information.
3. Fill in the client’s personal details, including their name, date of birth, and addresses. Ensure accuracy for effective communication.
4. Specify the hearing instrument(s) being purchased. Indicate whether they are new, used, or reconditioned, and provide details such as manufacturer, model/style, battery size, and amounts for each ear.
5. Complete sections regarding warranties, protection plans, trade-in allowances, and discounts. Clearly describe each option to ensure transparency.
6. Review the cancellation policy carefully. The client must initial after reading this section to acknowledge understanding.
7. Finalize by obtaining signatures from both the client and audiologist/dispenser along with respective dates.

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