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Downloadable Forms

RELEASE OF LIABILITY

PATIENT AUTHORIZATION OF DISCLOSURE – Jim Lane

MEDICAL WAIVER AND RELEASE FORM

HIPAA NOTICE OF PRIVACY PRACTICES

CONFIDENTIAL PATIENT INFORMATION

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Contact Us

949.859.7554

About

Our goal is to provide you care and service of the highest quality. We represent over 6 major brands that are reasonably priced. You can be assured that a board certified hearing instrument specialist and audioprosthologist will assist you every step of the way. At Orange County Professional Hearing, Inc., have it done right the first time and your satisfaction is guaranteed.

Testimonials

“Jim is a very responsive hearing specialist. He caters to our particular needs. Works extremely with the elderly..”
– Randy M.

“Jim made me feel very comfortable and would recommend to anyone who has a hearing problem!.”
– Jenny B.

“It was a great experience. Thanks much and looking forward to our next appointment.”
– Sean D.

Laguna Hills, CA

24022 Calle de la Plata, Suite 415
Laguna Hills, CA 92653

Tel: 949-859-7554
Fax: 949-859-9256
E-mail: ocprohearing@gmail.com

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