{"id":273,"date":"2019-07-22T17:49:46","date_gmt":"2019-07-22T21:49:46","guid":{"rendered":"https:\/\/fredericksburgent.fm1.dev\/patient-forms\/"},"modified":"2020-01-06T17:06:04","modified_gmt":"2020-01-06T22:06:04","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/hearingresourcecenterllc.com\/resources\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Adult-Hearing-History-Form-2020.pdf\">Adult Hearing History Form <\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Adult-Hearing-History-Form-2020.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/11\/BCBS-patient-responsibility-form-updated-6.27.18.pdf\"> Patient Insurance Responsibility Form  <\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/11\/BCBS-patient-responsibility-form-updated-6.27.18.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2020\/01\/hrc_patient_demo_form_fillable_v4.pdf\"> Patient Demographic Form<\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2020\/01\/hrc_patient_demo_form_fillable_v4.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Patient-Self-Assessment-of-Communication-1.pdf\">Patient Self-Assessment of Communication<\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Patient-Self-Assessment-of-Communication-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Significant-Other-Assessment-of-Communication-1.pdf\">Significant Other Assessment of Communication<\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/Significant-Other-Assessment-of-Communication-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/client-oriented-scale-of-improvement-1.pdf\">Client Oriented Scale of Improvement<\/a><a href=\"https:\/\/hearingresourcecenterllc.com\/wp-content\/uploads\/2019\/12\/client-oriented-scale-of-improvement-1.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":113,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":""},"service_tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - 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