{"id":24,"date":"2022-01-06T00:11:20","date_gmt":"2022-01-06T00:11:20","guid":{"rendered":"https:\/\/northtxhearing.fm1.dev\/patient-forms\/"},"modified":"2024-04-30T16:47:52","modified_gmt":"2024-04-30T21:47:52","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/kdaud.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-5b0c20d7-cae6-4afa-981b-e1f62e0ab0af\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_adult_patient_information_form_v3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Adult Patient Information<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_adult_patient_information_form_v3.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-5b0c20d7-cae6-4afa-981b-e1f62e0ab0af\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-1fd47f25-5654-4869-a5bf-5ef14a1f0491\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_hearing_health_history_v3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Hearing Health History<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_hearing_health_history_v3.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-1fd47f25-5654-4869-a5bf-5ef14a1f0491\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-d04e0dad-6bb5-43e5-8cb6-af6e5319b728\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_phi_for_family_members_form_v3-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Protected Health Information Acknowledgement<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_phi_for_family_members_form_v3-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-d04e0dad-6bb5-43e5-8cb6-af6e5319b728\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-26511151-915f-471c-aa04-0d17ead3870f\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_notice_of_privacy_practices_v7.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Notice of Privacy Practices<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_notice_of_privacy_practices_v7.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-26511151-915f-471c-aa04-0d17ead3870f\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-693b42a8-201c-4a3d-baa8-9b19310a83c3\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2023\/05\/Assignment-of-Insurance-Benefits.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Assignment of Insurance Benefits<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2023\/05\/Assignment-of-Insurance-Benefits.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-693b42a8-201c-4a3d-baa8-9b19310a83c3\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-a90e7fd2-f01a-476b-8563-3fdd4aeb23b5\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2023\/05\/New-Patient-Source.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">New Patient Source<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2023\/05\/New-Patient-Source.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-a90e7fd2-f01a-476b-8563-3fdd4aeb23b5\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0d1ab299-2717-4328-b74d-84330db441f5\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_referral_form_v9-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Test Referral Form<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_referral_form_v9-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0d1ab299-2717-4328-b74d-84330db441f5\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-93ec8fc7-6e10-45ef-8d47-6aac72a75491\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_neurodaignostic_intake_fillable_form_v5-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Neurodiagnostic Intake<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_neurodaignostic_intake_fillable_form_v5-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-93ec8fc7-6e10-45ef-8d47-6aac72a75491\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-4b120afc-a823-459b-85ee-6134bd73227c\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_neurodaignostic_intake_fillable_form_spanish_v5-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Nuerodiagnostic Intake (Spanish)<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_neurodaignostic_intake_fillable_form_spanish_v5-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-4b120afc-a823-459b-85ee-6134bd73227c\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-92b6cd94-23e5-4f6f-9114-ffd12beb1df0\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_dizziness_handicap_inventory_2023_v5-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Dizziness Handicap Inventory<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_dizziness_handicap_inventory_2023_v5-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-92b6cd94-23e5-4f6f-9114-ffd12beb1df0\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-7762c751-04ae-4c4a-8378-2297a8214aeb\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_child_history_form_2023_v2-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Child History Form<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_child_history_form_2023_v2-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-7762c751-04ae-4c4a-8378-2297a8214aeb\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0352dcf0-2d4a-4527-8969-aa732c93db92\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_what_to_expect_dos_and_donts_2023_v4.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">What To Expect Do&#8217;s And Dont&#8217;s<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_what_to_expect_dos_and_donts_2023_v4.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0352dcf0-2d4a-4527-8969-aa732c93db92\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0be340d2-54b1-41db-a8c4-99f34bdc9988\" href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_map_to_the_office_2023_v6.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Directions to Our Office<\/a><a href=\"https:\/\/kdaud.com\/wp-content\/uploads\/2024\/02\/kd_map_to_the_office_2023_v6.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0be340d2-54b1-41db-a8c4-99f34bdc9988\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"service_tags":[],"class_list":["post-24","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":0,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"wp:attachment":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/media?parent=24"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/service_tags?post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}