Teleaudiology Consent
Last Updated: November 1, 2025
This consent outlines the terms and conditions for teleaudiology services you receive from Hear.com ("Hear.com," "we" or "us").
If you have any questions, please don't hesitate to contact us at info@hear.com.
1. Updates to the Consent. We may update this consent without notice, but will update the "Last Updated" date at the beginning of the consent when we have made a material change. If you don't agree with the changes, you can stop using Hear.com's services at any time.
2. Consent to Treat. You give Hear.com permission to provide teleaudiology services to you. Hear.com's teleaudiology services involve synchronous, real-time, two-way audio-video exchanges between you and a Hear.com provider.1 This technology allows the provider to see and communicate with you in real-time. You understand that your treatment with Hear.com may not involve an in-person appointment, and that your Hear.com provider will rely upon the information you provide to them. If Hear.com and/or any Hear.com provider determines that teleaudiology is not appropriate for me, I understand that Hear.com may discharge me and recommend that I obtain an in-person evaluation.
3. Telehealth Services Consent. Telehealth Services are healthcare services delivered remotely using technology. This can include video calls, telephone consultations, or secure messaging to connect with Hear.com hearing care professionals. You understand that there are risks and limitations in using telehealth, and that telehealth may not be appropriate for all conditions. If you are experiencing a medical emergency, please do not use the telehealth services, and dial 911 or otherwise seek emergency medical treatment immediately.
4. Service Termination. You can stop using Hear.com's services at any time, and we can stop providing teleaudiology services to you at any time. If we can no longer provide teleaudiology services to you, we will make every effort to contact you, and help you transfer your records to your new hearing care provider.
5. Notice of Privacy Practices. You acknowledge receipt of our Notice of Privacy Practices, which describes how we may use and disclose your health information. A copy can also be obtained on our website, or we will send you a paper copy upon request.
6. Consent to Electronic Communications. You agree that we may contact you via messaging, email, phone, text, or mail. Those communications may be through our website, app, or otherwise, including electronic communications about your healthcare which may include protected health information (PHI). You understand that communicating via email, text messages, and other electronic means may not be secure, and could be viewed by unintended persons, and you agree to communicate with us via these electronic means. You agree to update your contact information as needed to ensure accuracy in our communications to you. You can opt out of communications from Hear.com at any time. You agree not to record any audio or visual communication with Hear.com without the express written consent of all parties to the relevant communication.
7. Limitation of Liability. Telehealth services may have limitations. Except in cases of gross negligence or willful misconduct, Hear.com is not liable for any harm related to your use of our clinical services.
8. Consent to Record for Training of Artificial Intelligence (AI) Tools and Healthcare Operations. We may use artificial intelligence ("AI") tools to assist in our operations, and may use your personal information to train AI tools. We may also record and process your personal details while using our telehealth services to improve our audiology services.
9. Dispute Resolution. If there is a dispute between you and Hear.com, the dispute will be resolved through individual arbitration. The details of that dispute resolution process are in the Agreement to Arbitrate in the Terms of Service on our website, as may be modified from time to time, and is hereby incorporated into this Agreement.
1 Hear.com providers are audiologists, hearing instrument specialists, or other licensed or certified hearing professionals with training and expertise in fitting hearing aids.BY SIGNING BELOW, I ACCEPT THE CONTENTS OF THIS CONSENT AND THE AGREEMENT TO ARBITRATE, AND ACKNOWLEDGE RECEIPT OF THE NOTICE OF PRIVACY PRACTICES.
By: __________________________________________________
Name: ________________________________________________
Relationship to Patient: _____________________________
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