| Today’s date |
|
|
| Today’s date (letter date format, for example September 30, 2022) |
|
|
| Clinic name |
|
|
| Clinic address (PDF: one line, Word: multiple lines) |
|
|
| Clinic address (one line) |
|
|
| Clinic address (multiple lines) |
|
|
| Clinic address and phone number (multiple lines) |
|
|
| Clinic name, address and phone number (multiple lines) |
|
|
| Clinic street line (unit, street number, and street name) |
|
|
| Clinic unit |
|
|
| Clinic street number |
|
|
| Clinic street name |
|
|
| Clinic city |
|
|
| Clinic province |
|
|
| Clinic postal code |
|
|
| Clinic phone number (formatted) |
|
|
| Clinic phone number |
|
|
| Clinic fax number (formatted) |
|
|
| Clinic fax number |
|
|
| Clinic email address |
|
|
| Clinic website URL |
|
|
| Clinic online booking website URL |
|
Online booking needs to be enabled |
| Clinic online booking URL (generated URL) |
|
Online booking needs to be enabled |
| Online booking URL (generated URL) |
|
Online booking needs to be enabled |
| Patient ID number |
|
|
| Patient reference number |
|
|
| Patient salutation |
|
|
| Last name |
|
|
| First name |
|
|
| Patient full name (last, first) |
|
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| Patient full name (first last) |
|
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| Middle initial |
|
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| Health card Number/SS# |
|
|
| Address (full address, multiple lines) |
|
|
| Address (full address, one line) |
|
|
| Address (unit, street number, and street name) |
|
|
| Address (city line) |
|
|
| Apt/Unit |
|
|
| Street number |
|
|
| Street name |
|
|
| City |
|
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| Province |
|
|
| Postal/Zip code |
|
|
| Do not mail (Yes/No) |
|
|
| Allow mail (Yes/No) |
|
|
| |
|
|
| Telephone (home formatted with hyphens) |
|
|
| Telephone (home unformatted) |
|
|
| Telephone (work) |
|
|
| Telephone (work formatted with hyphens) |
|
|
| Telephone (work unformatted) |
|
|
| Telephone extension (work) |
|
|
| Telephone (mobile) |
|
|
| Telephone (moblie formatted with hyphens) |
|
|
| Telephone (moblie unformatted) |
|
|
| Do not text (Yes/No) |
|
|
| Allow text (Yes/No) |
|
|
| Email address |
|
|
| Do not email (Yes/No) |
|
|
| Allow email (Yes/No) |
|
|
| Do not send commercial messages (Yes/No) |
|
|
| Allow commercial messages (Yes/No) |
|
|
| Patient note details |
|
|
| Patient gender abbreviation |
|
|
| Date of birth |
|
|
| Age |
|
|
| Patient type (audiology tab) |
|
|
| Account balance |
|
|
| Alternate contact salutation |
|
|
| Alternate contact first name |
|
|
| Alternate contact last name |
|
|
| Alternate contact name (last, first) |
|
|
| Alternate contact name (first last) |
|
|
| Alternate contact middle initial |
|
|
| Alternate contact address (multiple lines) |
|
|
| Alternate contact address (one line) |
|
|
| Alternate contact address (unit, street number, and street name) |
|
|
| Alternate contact address (city line) |
|
|
| Alternate contact apt/unit |
|
|
| Alternate contact street number |
|
|
| Alternate contact street name |
|
|
| Alternate contact city |
|
|
| Alternate contact province |
|
|
| Alternate contact postal/zip code |
|
|
| Alternate contact telephone (home) |
|
|
| Alternate contact telephone (home formatted with hyphens) |
|
|
| Alternate contact telephone (home unformatted) |
|
|
| Alternate contact telephone (work) |
|
|
| Alternate contact telephone (work formatted with hyphens) |
|
|
| Alternate contact telephone (work unformatted) |
|
|
| Alternate contact telephone extension (work) |
|
|
| Alternate contact telephone (mobile) |
|
|
| Alternate contact telephone (mobile formatted with hyphens) |
|
|
| Alternate contact telephone (mobile unformatted) |
|
|
| Alternate contact do not text (Yes/No) |
|
|
| Alternate contact allow text (Yes/No) |
|
|
| Alternate contact email address |
|
|
| Alternate contact do not email (Yes/No) |
|
|
| Alternate contact allow email (Yes/No) |
|
|
| Alternate contact relationship |
|
|
| Alternate contact bill to contact (Yes/No) |
|
|
| Alternate contact primary contact (Yes/No) |
|
|
| Referrer type |
|
|
| Referral source |
|
|
| Patient group |
|
|
| Contact salutation (Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact first name |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact last name |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact middle initial |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact address (multiple lines) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact address (one line) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact address (unit, street number, and street name) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact address (city line) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact apt/unit |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact street number |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact street name |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact city |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact province |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact postal/zip code |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (home) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (home formatted with hyphens) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (home unformatted) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (work) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (work formatted with hyphens) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (work unformatted) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone extension (work) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (mobile) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (mobile formatted with hyphens) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact telephone (mobile unformatted) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact do not text (Yes/No) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact allow text (Yes/No) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact email address |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact do not email (Yes/No) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| Contact allow email (Yes/No) |
|
Contact uses the alternate contact’s information if “Primary contact”, otherwise patient’s information. |
| *Primary Insurer name |
|
Only available for US customers. |
| *Primary Insurer address |
|
Only available for US customers. |
| *Primary insurer unit |
|
Only available for US customers. |
| *Primary insurer street number |
|
Only available for US customers. |
| *Primary insurer street name |
|
Only available for US customers. |
| *Primary Insurer city |
|
Only available for US customers. |
| *Primary Insurer state |
|
Only available for US customers. |
| *Primary Insurer country |
|
Only available for US customers. |
| *Primary Insurer zip |
|
Only available for US customers. |
| *Primary Insurer phone number |
|
Only available for US customers. |
| *Primary insurer fax |
|
Only available for US customers. |
| *Primary Payer ID# |
|
Only available for US customers. |
| *Primary insurance plan |
|
Only available for US customers. |
| *Primary ID# |
|
Only available for US customers. |
| *Primary name |
|
Only available for US customers. |
| *Primary relationship |
|
Only available for US customers. |
| *Primary address |
|
Only available for US customers. |
| *Primary city |
|
Only available for US customers. |
| *Primary country |
|
Only available for US customers. |
| *Primary state |
|
Only available for US customers. |
| *Primary zip |
|
Only available for US customers. |
| *Primary telephone |
|
Only available for US customers. |
| *Primary policy # |
|
Only available for US customers. |
| *Primary date of birth |
|
Only available for US customers. |
| *Primary gender |
|
Only available for US customers. |
| *Primary Employer/School name |
|
Only available for US customers. |
| *Primary Insurance plan/Program name |
|
Only available for US customers. |
| *Primary Insurer Notes |
|
Only available for US customers. |
| *Primary Insurer Pre-certified (yes/no) |
|
Only available for US customers. |
| *Primary Insurer Hearing Aid Benefit (yes/no) |
|
Only available for US customers. |
| *Primary Insurer Estimated Benefit |
|
Only available for US customers. |
| *Primary Insurer Deductible |
|
Only available for US customers. |
| *Primary Insurer Copay |
|
Only available for US customers. |
| *Secondary Insurer name |
|
Only available for US customers. |
| *Secondary Insurer address |
|
Only available for US customers. |
| *Secondary Insurer unit |
|
Only available for US customers. |
| *Secondary Insurer street number |
|
Only available for US customers. |
| *Secondary Insurer street name |
|
Only available for US customers. |
| *Secondary Insurer city |
|
Only available for US customers. |
| *Secondary Insurer state |
|
Only available for US customers. |
| *Secondary Insurer country |
|
Only available for US customers. |
| *Secondary Insurer zip |
|
Only available for US customers. |
| *Secondary Insurer phone number |
|
Only available for US customers. |
| *Secondary insurer fax |
|
Only available for US customers. |
| *Secondary Payer ID# |
|
Only available for US customers. |
| *Secondary insurance plan |
|
Only available for US customers. |
| *Secondary ID# |
|
Only available for US customers. |
| *Secondary name |
|
Only available for US customers. |
| *Secondary relationship |
|
Only available for US customers. |
| *Secondary address |
|
Only available for US customers. |
| *Secondary city |
|
Only available for US customers. |
| *Secondary country |
|
Only available for US customers. |
| *Secondary state |
|
Only available for US customers. |
| *Secondary zip |
|
Only available for US customers. |
| *Secondary telephone |
|
Only available for US customers. |
| *Secondary policy # |
|
Only available for US customers. |
| *Secondary date of birth |
|
Only available for US customers. |
| *Secondary gender |
|
Only available for US customers. |
| *Secondary Employer/School name |
|
Only available for US customers. |
| *Secondary Insurance plan/ Program name |
|
Only available for US customers. |
| *Secondary insurer Notes |
|
Only available for US customers. |
| *Secondary Insurer Pre-certified (yes/no) |
|
Only available for US customers. |
| *Secondary Insurer Hearing Aid Benefit (yes/no) |
|
Only available for US customers. |
| *Secondary Insurer Estimated Benefit |
|
Only available for US customers. |
| *Secondary Insurer Deductible |
|
Only available for US customers. |
| *Secondary Insurer Copay |
|
Only available for US customers. |
| *Marital status |
|
Only available for US customers. |
| *Employment status |
|
Only available for US customers. |
| Insurer 1 policy number |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 ID number |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 ID number |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 address (multiple lines) |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 street line (unit, street number, and street name) |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 city line (city, province, postal code) |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 unit |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 street number |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 street name |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 city |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 province |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 country |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 postal code |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 telephone |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 telephone (unformatted) |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Insurer 1 fax number |
|
For multiple insurers, change 1 to 2, 3, or 4 |
| Patient has Insurer ADP (Yes/No) |
|
Only available for CA customers. |
| Insurer ADP policy number |
|
Only available for CA customers. |
| Patient has Insurer VAC (Yes/No) |
|
Only available for CA customers. |
| Insurer VAC policy number |
|
Only available for CA customers. |
| Patient has Insurer WSIB (Yes/No) |
|
Only available for CA customers. |
| Insurer WSIB policy number |
|
Only available for CA customers. |
| Patient has Insurer NIHB (Yes/No) |
|
Only available for CA customers. |
| Insurer NIHB policy number |
|
Only available for CA customers. |
| Patient has Insurer RCMP (Yes/No) |
|
Only available for CA customers. |
| Insurer RCMP policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB AB (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB AB policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB BC (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB BC policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB MB (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB MB policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB SK (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB SK policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB NWT (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB NWT policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB NB (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB NB policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB NS (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB NS policy number |
|
Only available for CA customers. |
| Patient has Insurer AADL (Yes/No) |
|
Only available for CA customers. |
| Insurer AADL policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB NL (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB NL policy number |
|
Only available for CA customers. |
| Patient has Insurer CNESST (Yes/No) |
|
Only available for CA customers. |
| Insurer CNESST policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB PEI (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB PEI policy number |
|
Only available for CA customers. |
| Patient has Insurer WCB YT (Yes/No) |
|
Only available for CA customers. |
| Insurer WCB YT policy number |
|
Only available for CA customers. |
| Patient has Insurer IFHP (Yes/No) |
|
Only available for CA customers. |
| Insurer IFHP policy number |
|
Only available for CA customers. |
| Patient has Insurer FNHA (Yes/No) |
|
Only available for CA customers. |
| Insurer FNHA policy number |
|
Only available for CA customers. |
| Patient has Insurer ODSP (Yes/No) |
|
Only available for CA customers. |
| Insurer ODSP policy number |
|
Only available for CA customers. |
| Patient has Insurer DND (Yes/No) |
|
Only available for CA customers. |
| Insurer DND policy number |
|
Only available for CA customers. |
| Patient insurer(s) |
|
|
| Dr. Title |
|
|
| Family physician |
|
|
| Family physician title |
|
|
| Family physician first name |
|
|
| Family physician last name |
|
|
| Family physician name combined |
|
|
| Family physician address (one line) |
|
|
| Family physician address (multiple lines) |
|
|
| Family physician address (city line) |
|
|
| Family physician address (street line) |
|
|
| Family physician unit |
|
|
| Family physician street number |
|
|
| Family physician street |
|
|
| Family physician city |
|
|
| Family physician province |
|
|
| Family physician postal code |
|
|
| Family physician billing number |
|
|
| Family physician phone number |
|
|
| Family physician phone number ext |
|
|
| Family physician fax number |
|
|
| Last appt date |
|
|
| Last appt time |
|
|
| Last appt type |
|
|
| Last appt location |
|
|
| Last appt provider |
|
|
| Last assessment date |
|
|
| Left HA model name |
|
|
| Left HA purchase date |
|
|
| Left HA Warranty exp. date |
|
|
| Left HA L&D Warranty exp. date |
|
|
| Left HA serial number |
|
|
| Left HA battery size |
|
|
| Left HA notes |
|
|
| Left HA service plan name |
|
|
| Left HA service plan expiration date |
|
|
| Right HA model name |
|
|
| Right HA purchase date |
|
|
| Right HA Warranty exp. date |
|
|
| Right HA L&D Warranty exp. date |
|
|
| Right HA serial number |
|
|
| Right HA battery size |
|
|
| Right HA notes |
|
|
| Right HA service plan name |
|
|
| Right HA service plan expiration date |
|
|
| Other HA model name |
|
|
| Other HA purchase date |
|
|
| Other HA Warranty exp. date |
|
|
| Other HA L&D Warranty exp. date |
|
|
| Other HA serial number |
|
|
| Other HA battery size |
|
|
| Other HA notes |
|
|
| Other HA service plan name |
|
|
| Other HA service plan expiration date |
|
|
| First ALD/Accessory name |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| First ALD/Accessory serial number |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| First ALD/Accessory notes |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| First ALD/Accessory purchase date |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| First ALD/Accessory Warranty exp. date |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| Second ALD/Accessory name |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| Second ALD/Accessory serial number |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| Second ALD/Accessory notes |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| Second ALD/Accessory purchase date |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
| Second ALD/Accessory Warranty exp. date |
|
Accessories must be present in patient’s ALDs/Accessories tab. |
|
| Audiogram related fields |
| Audiogram date |
|
Latest audiologic data used. |
| MCL Binaural |
|
Latest audiologic data used. |
| MCL Left |
|
Latest audiologic data used. |
| MCL Right |
|
Latest audiologic data used. |
| SRT Binaural |
|
Latest audiologic data used. |
| SRT Left |
|
Latest audiologic data used. |
| SRT Masked Left |
|
Latest audiologic data used. |
| SRT Right |
|
Latest audiologic data used. |
| SRT Masked Right |
|
Latest audiologic data used. |
| UCL Binaural |
|
Latest audiologic data used. |
| UCL Left |
|
Latest audiologic data used. |
| UCL Right |
|
Latest audiologic data used. |
| WRN Binaural Level |
|
Latest audiologic data used. |
| WRN Binaural Noise |
|
Latest audiologic data used. |
| WRN Binaural Percent |
|
Latest audiologic data used. |
| WRN Left Level |
|
Latest audiologic data used. |
| WRN Left Noise |
|
Latest audiologic data used. |
| WRN Left Percent |
|
Latest audiologic data used. |
| WRN Right Level |
|
Latest audiologic data used. |
| WRN Right Noise |
|
Latest audiologic data used. |
| WRN Right Percent |
|
Latest audiologic data used. |
| WR Binaural Level |
|
Latest audiologic data used. |
| WR Binaural Percent |
|
Latest audiologic data used. |
| WR Left Level |
|
Latest audiologic data used. |
| WR Masked Left |
|
Latest audiologic data used. |
| WR Left Percent |
|
Latest audiologic data used. |
| WR Right Level |
|
Latest audiologic data used. |
| WR Masked Right |
|
Latest audiologic data used. |
| WR Right Percent |
|
Latest audiologic data used. |
| Left Hearing loss severity |
|
Latest audiologic data used. |
| Right Hearing loss severity |
|
Latest audiologic data used. |
| Left Hearing loss type |
|
Latest audiologic data used. |
| Right Hearing loss type |
|
Latest audiologic data used. |
| Left Hearing loss shape |
|
Latest audiologic data used. |
| Right Hearing loss shape |
|
Latest audiologic data used. |
| Test method |
|
Latest audiologic data used. |
| ICD code(s) |
|
Latest audiologic data used. |
| Patient type(s) |
|
|
| AC Left 125 |
|
Latest audiologic data used. |
| AC Left 250 |
|
Latest audiologic data used. |
| AC Left 500 |
|
Latest audiologic data used. |
| AC Left 750 |
|
Latest audiologic data used. |
| AC Left 1000 |
|
Latest audiologic data used. |
| AC Left 1500 |
|
Latest audiologic data used. |
| AC Left 2000 |
|
Latest audiologic data used. |
| AC Left 3000 |
|
Latest audiologic data used. |
| AC Left 4000 |
|
Latest audiologic data used. |
| AC Left 6000 |
|
Latest audiologic data used. |
| AC Left 8000 |
|
Latest audiologic data used. |
| AC Right 125 |
|
Latest audiologic data used. |
| AC Right 250 |
|
Latest audiologic data used. |
| AC Right 500 |
|
Latest audiologic data used. |
| AC Right 750 |
|
Latest audiologic data used. |
| AC Right 1000 |
|
Latest audiologic data used. |
| AC Right 1500 |
|
Latest audiologic data used. |
| AC Right 2000 |
|
Latest audiologic data used. |
| AC Right 3000 |
|
Latest audiologic data used. |
| AC Right 4000 |
|
Latest audiologic data used. |
| AC Right 6000 |
|
Latest audiologic data used. |
| AC Right 8000 |
|
Latest audiologic data used. |
| BC Left 125 |
|
Latest audiologic data used. |
| BC Left 250 |
|
Latest audiologic data used. |
| BC Left 500 |
|
Latest audiologic data used. |
| BC Left 750 |
|
Latest audiologic data used. |
| BC Left 1000 |
|
Latest audiologic data used. |
| BC Left 1500 |
|
Latest audiologic data used. |
| BC Left 2000 |
|
Latest audiologic data used. |
| BC Left 3000 |
|
Latest audiologic data used. |
| BC Left 4000 |
|
Latest audiologic data used. |
| BC Left 6000 |
|
Latest audiologic data used. |
| BC Left 8000 |
|
Latest audiologic data used. |
| BC Right 125 |
|
Latest audiologic data used. |
| BC Right 250 |
|
Latest audiologic data used. |
| BC Right 500 |
|
Latest audiologic data used. |
| BC Right 750 |
|
Latest audiologic data used. |
| BC Right 1000 |
|
Latest audiologic data used. |
| BC Right 1500 |
|
Latest audiologic data used. |
| BC Right 2000 |
|
Latest audiologic data used. |
| BC Right 3000 |
|
Latest audiologic data used. |
| BC Right 4000 |
|
Latest audiologic data used. |
| BC Right 6000 |
|
Latest audiologic data used. |
| BC Right 8000 |
|
Latest audiologic data used. |
| MCL Left 125 |
|
Latest audiologic data used. |
| MCL Left 250 |
|
Latest audiologic data used. |
| MCL Left 500 |
|
Latest audiologic data used. |
| MCL Left 750 |
|
Latest audiologic data used. |
| MCL Left 1000 |
|
Latest audiologic data used. |
| MCL Left 1500 |
|
Latest audiologic data used. |
| MCL Left 2000 |
|
Latest audiologic data used. |
| MCL Left 3000 |
|
Latest audiologic data used. |
| MCL Left 4000 |
|
Latest audiologic data used. |
| MCL Left 6000 |
|
Latest audiologic data used. |
| MCL Left 8000 |
|
Latest audiologic data used. |
| MCL Right 125 |
|
Latest audiologic data used. |
| MCL Right 250 |
|
Latest audiologic data used. |
| MCL Right 500 |
|
Latest audiologic data used. |
| MCL Right 750 |
|
Latest audiologic data used. |
| MCL Right 1000 |
|
Latest audiologic data used. |
| MCL Right 1500 |
|
Latest audiologic data used. |
| MCL Right 2000 |
|
Latest audiologic data used. |
| MCL Right 3000 |
|
Latest audiologic data used. |
| MCL Right 4000 |
|
Latest audiologic data used. |
| MCL Right 6000 |
|
Latest audiologic data used. |
| MCL Right 8000 |
|
Latest audiologic data used. |
| UCL Left 125 |
|
Latest audiologic data used. |
| UCL Left 250 |
|
Latest audiologic data used. |
| UCL Left 500 |
|
Latest audiologic data used. |
| UCL Left 750 |
|
Latest audiologic data used. |
| UCL Left 1000 |
|
Latest audiologic data used. |
| UCL Left 1500 |
|
Latest audiologic data used. |
| UCL Left 2000 |
|
Latest audiologic data used. |
| UCL Left 3000 |
|
Latest audiologic data used. |
| UCL Left 4000 |
|
Latest audiologic data used. |
| UCL Left 6000 |
|
Latest audiologic data used. |
| UCL Left 8000 |
|
Latest audiologic data used. |
| UCL Right 125 |
|
Latest audiologic data used. |
| UCL Right 250 |
|
Latest audiologic data used. |
| UCL Right 500 |
|
Latest audiologic data used. |
| UCL Right 750 |
|
Latest audiologic data used. |
| UCL Right 1000 |
|
Latest audiologic data used. |
| UCL Right 1500 |
|
Latest audiologic data used. |
| UCL Right 2000 |
|
Latest audiologic data used. |
| UCL Right 3000 |
|
Latest audiologic data used. |
| UCL Right 4000 |
|
Latest audiologic data used. |
| UCL Right 6000 |
|
Latest audiologic data used. |
| UCL Right 8000 |
|
Latest audiologic data used. |
| SF Left 125 |
|
Latest audiologic data used. |
| SF Left 250 |
|
Latest audiologic data used. |
| SF Left 500 |
|
Latest audiologic data used. |
| SF Left 750 |
|
Latest audiologic data used. |
| SF Left 1000 |
|
Latest audiologic data used. |
| SF Left 1500 |
|
Latest audiologic data used. |
| SF Left 2000 |
|
Latest audiologic data used. |
| SF Left 3000 |
|
Latest audiologic data used. |
| SF Left 4000 |
|
Latest audiologic data used. |
| SF Left 6000 |
|
Latest audiologic data used. |
| SF Left 8000 |
|
Latest audiologic data used. |
| SF Right 125 |
|
Latest audiologic data used. |
| SF Right 250 |
|
Latest audiologic data used. |
| SF Right 500 |
|
Latest audiologic data used. |
| SF Right 750 |
|
Latest audiologic data used. |
| SF Right 1000 |
|
Latest audiologic data used. |
| SF Right 1500 |
|
Latest audiologic data used. |
| SF Right 2000 |
|
Latest audiologic data used. |
| SF Right 3000 |
|
Latest audiologic data used. |
| SF Right 4000 |
|
Latest audiologic data used. |
| SF Right 6000 |
|
Latest audiologic data used. |
| SF Right 8000 |
|
Latest audiologic data used. |
| SFA Left 125 |
|
Latest audiologic data used. |
| SFA Left 250 |
|
Latest audiologic data used. |
| SFA Left 500 |
|
Latest audiologic data used. |
| SFA Left 750 |
|
Latest audiologic data used. |
| SFA Left 1000 |
|
Latest audiologic data used. |
| SFA Left 1500 |
|
Latest audiologic data used. |
| SFA Left 2000 |
|
Latest audiologic data used. |
| SFA Left 3000 |
|
Latest audiologic data used. |
| SFA Left 4000 |
|
Latest audiologic data used. |
| SFA Left 6000 |
|
Latest audiologic data used. |
| SFA Left 8000 |
|
Latest audiologic data used. |
| SFA Right 125 |
|
Latest audiologic data used. |
| SFA Right 250 |
|
Latest audiologic data used. |
| SFA Right 500 |
|
Latest audiologic data used. |
| SFA Right 750 |
|
Latest audiologic data used. |
| SFA Right 1000 |
|
Latest audiologic data used. |
| SFA Right 1500 |
|
Latest audiologic data used. |
| SFA Right 2000 |
|
Latest audiologic data used. |
| SFA Right 3000 |
|
Latest audiologic data used. |
| SFA Right 4000 |
|
Latest audiologic data used. |
| SFA Right 6000 |
|
Latest audiologic data used. |
| SFA Right 8000 |
|
Latest audiologic data used. |
| AC Masking Left 125 |
|
Latest audiologic data used. |
| AC Masking Left 250 |
|
Latest audiologic data used. |
| AC Masking Left 500 |
|
Latest audiologic data used. |
| AC Masking Left 750 |
|
Latest audiologic data used. |
| AC Masking Left 1000 |
|
Latest audiologic data used. |
| AC Masking Left 1500 |
|
Latest audiologic data used. |
| AC Masking Left 2000 |
|
Latest audiologic data used. |
| AC Masking Left 3000 |
|
Latest audiologic data used. |
| AC Masking Left 4000 |
|
Latest audiologic data used. |
| AC Masking Left 6000 |
|
Latest audiologic data used. |
| AC Masking Left 8000 |
|
Latest audiologic data used. |
| AC Masking Right 125 |
|
Latest audiologic data used. |
| AC Masking Right 250 |
|
Latest audiologic data used. |
| AC Masking Right 500 |
|
Latest audiologic data used. |
| AC Masking Right 750 |
|
Latest audiologic data used. |
| AC Masking Right 1000 |
|
Latest audiologic data used. |
| AC Masking Right 1500 |
|
Latest audiologic data used. |
| AC Masking Right 2000 |
|
Latest audiologic data used. |
| AC Masking Right 3000 |
|
Latest audiologic data used. |
| AC Masking Right 4000 |
|
Latest audiologic data used. |
| AC Masking Right 6000 |
|
Latest audiologic data used. |
| AC Masking Right 8000 |
|
Latest audiologic data used. |
| BC Masking Left 125 |
|
Latest audiologic data used. |
| BC Masking Left 250 |
|
Latest audiologic data used. |
| BC Masking Left 500 |
|
Latest audiologic data used. |
| BC Masking Left 750 |
|
Latest audiologic data used. |
| BC Masking Left 1000 |
|
Latest audiologic data used. |
| BC Masking Left 1500 |
|
Latest audiologic data used. |
| BC Masking Left 2000 |
|
Latest audiologic data used. |
| BC Masking Left 3000 |
|
Latest audiologic data used. |
| BC Masking Left 4000 |
|
Latest audiologic data used. |
| BC Masking Left 6000 |
|
Latest audiologic data used. |
| BC Masking Left 8000 |
|
Latest audiologic data used. |
| BC Masking Right 125 |
|
Latest audiologic data used. |
| BC Masking Right 250 |
|
Latest audiologic data used. |
| BC Masking Right 500 |
|
Latest audiologic data used. |
| BC Masking Right 750 |
|
Latest audiologic data used. |
| BC Masking Right 1000 |
|
Latest audiologic data used. |
| BC Masking Right 1500 |
|
Latest audiologic data used. |
| BC Masking Right 2000 |
|
Latest audiologic data used. |
| BC Masking Right 3000 |
|
Latest audiologic data used. |
| BC Masking Right 4000 |
|
Latest audiologic data used. |
| BC Masking Right 6000 |
|
Latest audiologic data used. |
| BC Masking Right 8000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 125 |
|
Latest audiologic data used. |
| MCL Masking Binaural 250 |
|
Latest audiologic data used. |
| MCL Masking Binaural 500 |
|
Latest audiologic data used. |
| MCL Masking Binaural 750 |
|
Latest audiologic data used. |
| MCL Masking Binaural 1000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 1500 |
|
Latest audiologic data used. |
| MCL Masking Binaural 2000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 3000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 4000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 6000 |
|
Latest audiologic data used. |
| MCL Masking Binaural 8000 |
|
Latest audiologic data used. |
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