{"id":377,"date":"2016-07-24T21:37:43","date_gmt":"2016-07-24T21:37:43","guid":{"rendered":"https:\/\/accuratehearingsystems.com\/?page_id=377"},"modified":"2026-05-05T07:59:58","modified_gmt":"2026-05-05T07:59:58","slug":"intake-forms","status":"publish","type":"page","link":"https:\/\/accuratehearingsystems.com\/?page_id=377","title":{"rendered":"Intake Forms"},"content":{"rendered":"<h2>Prepare Before Your Appointment<\/h2>\n<p>Save time on your appointment day by filling out our customer intake forms below. Please bring completed forms with you to your appointment. We offer hearing care solutions to the Anchorage, AK and surrounding areas.<\/p>\n<ul>\n<li><a href=\"\/wp-content\/uploads\/2016\/07\/Acknowledgement-of-Receipt-of-Notice.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Acknowledgement of Receipt of Notice<\/a><\/li>\n<li>Confidential Patient Information\u00a0(<a href=\"\/confidential-patient-information\/\">Online Form<\/a>) (<a href=\"\/wp-content\/uploads\/2016\/07\/CONFIDENTIAL-PATIENT-INFORMATION.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Download Form<\/a>)<\/li>\n<li>Consent for Treatment (<a href=\"\/consent-for-treatment\/\">Online Form<\/a>) (<a href=\"\/wp-content\/uploads\/2016\/07\/CONSENT-FOR-TREATMENT.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Download Form<\/a>)<\/li>\n<li><a href=\"\/wp-content\/uploads\/2016\/07\/Notice-of-privacy-practices-AHS-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Notice of Privacy Practices<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Prepare Before Your Appointment Save time on your appointment day by filling out our customer intake forms below. Please bring completed forms with you to your appointment. We offer hearing care solutions to the Anchorage, AK and surrounding areas. Acknowledgement of Receipt of Notice Confidential Patient Information\u00a0(Online Form) (Download Form) Consent for Treatment (Online Form) [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":364,"parent":39,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-377","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hearing Intake Form | Accurate Hearing Systems<\/title>\n<meta name=\"description\" content=\"Complete intake forms before your appointment. 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