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NEW PATIENT FORMS for New Way Hearing Aids®



New Way Hearing is both HIPAA Compliant & HIPAA Secured to better insure all of your private information.

Instructions:

Please Click Links Below & PRINT FISRT THREE PATIENT FORMS with computer printer. The bottom form, 'Patient HIPAA Privacy Policy,' does not have to be printed, but it is for you to review. It basically states that we cannot divulge any of your private information without your written consent.

Complete the FIRST THREE FORMS. Bring FORMS with you to your appointment. This will help save you time!
​​Call (904) 644-8779 if you have any questions.​​
Submit form to request additional information
​        We will never release your personal information without your written consent!

New Patinet Forms

CONTACT:

Office: (904) 644-8779

Fax: (904) 644-8737

Toll Free: (888) 322-1555

​Email: [email protected]


(904) 644-8779
LOCATION:
Orange Park Clinic
1482 Park Ave. (US17)
Orange Park, FL 32073
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