Step-by-Step Purchase Process
to buying hearing aidsBuying hearing aids from any source, including HearSource, requires that a process be followed. Here's a step-by-step look at How-To-Buy.
Contact Us
Call toll-free at 1-800-416-2434. We'll guide you step-by-step through the process.
Medical Clearance form & see your Doctor or Medical Waiver
Federal law requires any person prior to being fit with hearing aids, must obtain a Medical Clearance from a licensed physician or sign a Medical Waiver declining the exam. (for more info., click here). We will Email, fax, or mail to you, or your doctor directly, a Medical Clearance form for your doctor to sign or a Medical Waiver form for you to sign.
At your own expense, your doctor may conduct an exam to insure there are no underlying medical conditions that need to be addressed. A Medical Clearance in the form of a simple "Script", similar to a regular prescription form stating that you are medically cleared to wear hearing aids is also acceptable.
The physician may have a hearing professional conduct a hearing test. If this is the case, please ask for a copy of your hearing test or Audiogram be provided to you. Be prepared for the hearing professional to try to sell you their own hearing aids. Please decline their invitation.
Under federally mandated HIPAA regulations, health care providers must provide you with copies of certain documents upon your request, including hearing aid clearance forms and hearing tests or Audiograms.
If you do not want a medical examination, Federal law allows for a
fully informed adult to sign a "Medical Exam Waiver Statement" declining the medical evaluation.
Click to download a PDF of Medical Exam Waiver StatementMedical 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 a 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.
Send us your Medical Clearance / Script / Hearing Test or Signed Medical Exam Waiver Statement
Fax, Email or Mail us a copy of your Medical Clearance form, Script or Medical Exam Waiver Statement. If you have a copy of your hearing test, send that too.
Fax it to us at: (765) 522-3551 or
it to 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 and a Medical Questionnaire for you to complete and send back to us.
We reserve the right to refuse to sale any hearing aid 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.
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 express mail at your home with easy to understand instructions.
Call us 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.) You Can Do This!