Financial Forms

Financial Forms - Office Forms - HearForm

HearForm also includes a number of very professional looking financial forms. These forms are generally located in our invoicing module. The forms are automatically mail merged and printed with all appropriate patient demographic and financial information. New in HearForm 11, you can now print, email or fax any one of these forms to the patient automatically. Here is an example of our patient agreement:

Financial Forms - Office Forms - HearForm

Our invoicing module can print the following forms

  • Accessory Agreement
  • Hearing Instrument Agreement (Modifiable for all State and Federal Regulations)
  • Diagnostics Agreement
  • Repair Agreement
  • Delivery Receipt
  • Standard Receipt
  • CMS-1500 forms (Printed or E-Billed)
  • Return for Credit / Exchanges
  • Commission Sheet
  • Statements/Receivables
  • Estimates / Quotes
  • State Forms for WA
  • Canadian Forms
  • Superbills

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