Unitron Quantum - Page 3

Your hearing aids
Hearing healthcare professional:_______________
__________________________________________
Telephone: _________________________________
Model: ____________________________________
Serial number:______________________________
Replacement batteries:
Size 10 Size 312 Size 13
Warranty: __________________________________
Program 1 is for: ____________________________
Program 2 is for: ____________________________
Program 3 is for: ____________________________
Program 4 is for: ____________________________
Date of purchase: ___________________________