Adapt & Hear Community Hearing Clinic

Patient Information Form

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CBFL ADAPT & HEAR COMMUNITY HEARING CLINIC Are you ready to hear the world better? Join us on November 19th for an exclusive hearing clinic where expert audiologists will provide advanced and comprehensive services. Whether you’re already experiencing hearing loss or want to protect your hearing, this event is designed just for you. Fast Turnaround! Receive your hearing device in a few weeks for little or no cost to you! Clinic Services: * Complete hearing assessments * Detailed ear examinations to check for any underlying issues * Earwax cleaning for optimal hearing clarity * Custom ear mold fittings for tailored hearing aids This special hearing clinic is by appointment only, and eligibility must be determined prior to participation. With only a few spots available, don’t miss your chance to take advantage of this opportunity! CPA (Consumer Participation Agreement) Fee may apply. For more eligibility information or to register, call 979-849-7060 or scan the code below. Let us help you experience the world through better hearing. In collaboration with: North Houston Hearing Solutions, LLC

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The contents of this website were developed, in part, under grants from the U.S. Department of Education and Texas Department of Assistive and Rehabilitative Services. The contents, however, do not necessarily represent the policies of the U.S. Department of Education or the Texas Department of Assistive and Rehabilitative Services, and you should not assume endorsement by the federal or state government. Organizational Form 990 is available for review at www.guidestar.org.

The Coalition For Barrier Free Living, Inc.

+1 713-974-4621

Mon - Thu: 8:00 - 5:00

Adapt & Hear Community Hearing Clinic

Patient Information Form

Acrobat Reader is needed to submit the form:

The Coalition For
Barrier Free Living, Inc.