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Patient Care Audit
What Is The Patient Care Audit?
This questionnaire is designed to help you assess the services you provide after a hearing
instrument fitting.
Please fill out the form below to do a free audit to see how well your office is regarding personal care and follow-up for your patients.
Patient Care Audit Form
Contact Us
Enter Your Info
Enter Your Information
Name:
Email:
Date:
Office
Score
YES OR NO
In Your Office, Do You...
Use a computer/software system to manage hearing aid user records?
Yes
No
Generate hearing aid user mailing labels quickly and easily?
Yes
No
Have several patient letters in computer memory (referral, thank you)?
Yes
No
Measure what % of patients purchase batteries from you?
Yes
No
Have a Battery Club which provides convenience and savings?
No
No
Sell batteries to more than 50% of your patients?
Yes
No
Measure what % of your patients come in for annual check-ups?
Yes
No
Have a fomal re-call program to encourage periodic hearing check-ups?
Yes
No
See more than 50% of your patients for annual monitoring?
Yes
No
Conduct Patient Satisfaction Surveys on a regular basis?
Yes
No
Send a newsletter to your patients at least four times a year?
Yes
No
Telephone patient within 48 hours of a new fitting?
Yes
No
Mail a thank-you letter after each hearing aid fitting?
Yes
No
Conduct a hearing aid check within one week of a new fitting?
Yes
No
Use clinical measurements to assess performance with amplification?
Yes
Option 2
Remind patients when a hearing aid warranty is ending?
Yes
No
Offer and promote extended warranty programs?
Yes
No
Have a program to encourage referrals from current patients?
Yes
No
Send a thank-you note after each patient referral?
Yes
No
See many new patients who are referred by present patients?
Yes
No
Thank you for contacting us.
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Fax: (914) 761-2372
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Suite 204
White Plains, NY 10605
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