{"id":235,"date":"2020-05-20T11:09:58","date_gmt":"2020-05-20T18:09:00","guid":{"rendered":"https:\/\/hearingsb.fm1.dev\/resources\/request-appointment\/patient-forms\/"},"modified":"2024-04-09T14:40:58","modified_gmt":"2024-04-09T21:40:58","slug":"forms","status":"publish","type":"page","link":"https:\/\/hearingsb.com\/resources\/forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<p><strong>We ask that all new patients and patients who have not been seen in several years review the below forms. Please bring the completed New Patient Intake Form with you to your visit, or submit online, whichever is more convenient for you.<\/strong><\/p>\n\n\n\n<p>We are affiliated with Dr. John D. McCaffery, who was recognized by his peers as a Castle Connolly Regional Top Doctor. Dr. John McCaffery is President of Hearing Services of Santa Barbara and contracts with Hearing Services of Santa Barbara for Audiologic services. If your hearing loss requires medical attention, we will consult with the physicians.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-c0f3523c-7789-4fc8-9b26-4b1ad55684cb\" href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2024\/04\/hssb_intake_form_single_page_2024_v1-2-1-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">New Patient Intake Form<\/a><a href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2024\/04\/hssb_intake_form_single_page_2024_v1-2-1-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-c0f3523c-7789-4fc8-9b26-4b1ad55684cb\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-df07528b-5f3b-4680-910d-077ca9296b6b\" href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2020\/05\/hipaa_privacy_practices.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">HIPAA Privacy Practices<\/a><a href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2020\/05\/hipaa_privacy_practices.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-df07528b-5f3b-4680-910d-077ca9296b6b\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-81450755-2dda-4eb0-b46b-4ece857d2c31\" href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2023\/12\/bluetooth.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Bluetooth Pairing Instructions<\/a><a href=\"https:\/\/hearingsb.com\/wp-content\/uploads\/2023\/12\/bluetooth.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-81450755-2dda-4eb0-b46b-4ece857d2c31\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>We ask that all new patients and patients who have not been seen in several years review the below forms. Please bring the completed New Patient Intake Form with you to your visit, or submit online, whichever is more convenient for you. We are affiliated with Dr. John D. McCaffery, who was recognized by his&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":270,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/pages\/235"}],"collection":[{"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/comments?post=235"}],"version-history":[{"count":0,"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/pages\/235\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/pages\/270"}],"wp:attachment":[{"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/media?parent=235"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/hearingsb.com\/wp-json\/wp\/v2\/service_tags?post=235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}