Please complete this form if:
- You would like us (Crystal Hearing Ltd) to programme your hearing aids that were supplied by another company, or gifted to you.
- Your hearing aids are out of warranty and a fee is due to programme them.
Programming hearing aids supplied elsewhere can lead to various problems including, but not limited to, the following:
- Hearing aids falling apart when we handle them
- Chipsets failing during firmware upgrades
- Hearing aids being lost in transit
- Faulty parts needing replacement
- Parts being the wrong size
- The hearing aids may not be adequate for your hearing loss
Due to the problems that have arisen previously we will programme your hearing aids on the following basis.
The price and terms are as laid out here
Any additional costs arising from any other circumstances are to be paid for by the customer, including the above-mentioned problems.
The customer is responsible for insuring hearing aids for replacement in the event of loss in transit. We shall assume they have home insurance for this unless we are told otherwise - see comments box below.
Audio recording: Consultations may be audio-recorded to help us create accurate clinical notes. Recordings may be processed by a secure third-party transcription/AI service. We do not use recordings for marketing. Our copy is deleted once notes are finalised, although the third-party service may retain limited data under its own policies. You can choose not to be recorded and may withdraw consent at any time after submitting this form.
By signing, you acknowledge and agree to all terms above.
Please submit this form before your appointment.