Below you’ll find the free Hearing Aid Advanced Planning Form. Similar to a traditional medical advanced directive, this document is designed to help you, your hearing health provider, and your loved ones discuss and record information about your hearing health wishes. While not a legally binding document, the form will help:

Keep your hearing health and hearing aid information in one place.
Let your loved ones know why your hearing aids are important to you.
Record your wishes for your hearing health if you can no longer make decisions.
Identify who gets your hearing aids when you no longer need them.

Download the Hearing Aid Advanced Planning Form in PDF or Word format and discuss it with your provider and loved ones.

The video below will walk you through filling out the form.

Hearing Aid Planning Form (PDF Download)

Hearing Aid Planning Form (Word Doc Download)

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HearingPlanner.com

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