Following FDA regulations, we ask you to agree to one of the two statements below before purchasing your hearing aids.
Choose from one of these two statements

1) I have been given a hearing evaluation by a licensed physician and have received a recommendation for a hearing aid. (Please send recommendation to HearPod at customerservice@myhearpod.com, or fax to 800 409-5128.)

2) I am hereby advised by HearPod that the Food and Drug Administration has determined that my health interest would best be served if i had a medical evaluation by a licensed physician prior to being fit with hearing device(s).

I understand the FDA regulation and state that I am at least 18 years of age and believe, in my own judgement, that I am qualified as a candidate for hearing aids. (In accordance with FDA regulations, your choice will be kept on file by HearPod for three years from the date of purchase.)

You must select statement #1 or #2 to continue to the checkout section... #1 - I have been evaluated by a physician and sent my hearing aid recommendation to HearPod #2 - I agree with the waiver *required

Please review our Privacy Policy. (Print a copy, if you wish.)
Please acknowledge that you have reviewed our Privacy Policy... Yes, I have reviewed the Privacy Policy *required

Please enter your full name below, acknowledging your understanding and agreement to the above:
*required

Thank you! Please continue.

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