User Manual

Please fold, tape, and return postage-paid card

to General Hearing via US Mail.

ATTENTION STORE ASSOCIATE:

ATTENTION TO PHARMACY ASSOCIATES:

Please have customer sign waiver printed below prior to sale of device(s).

Following signature of this card, detach at perforation and place card in

designated area for U.S. Mail pickup. Sale of hearing device(s) without

signature of waiver card is prohibited.

Waiver to Medical Evaluation

Tear card at perforation

ATTENTION: PHARMACY ASSOCIATES

Fill-Out Medical Waiver Card and

Signature Required At Time Of Purchase

PRODUCT REGISTRATION

& MEDICAL WAIVER

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ATTENTION TO PHARMACY ASSOCIATES: Please have customer sign waiver printed below prior to sale of device(s). Following signature of this card, detach at perforation and place card in designated area for U.S. Mail pickup. Sale of hearing device(s) without signature of waiver card is prohibited.
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Please have customer sign waiver printed below prior to sale of device(s). Detach at perforation, tape ends together (do not staple) and place card in designated area for U.S. Mail pickup. Tear card at perforation Tear card at perforation PRODUCT REGISTRATION & MEDICAL WAIVER Please complete registration with waiver and present to a pharmacy associate. Device is not for sale without signed and complete waiver. Fill in the following information: Mr. Mrs. Ms. Miss.