Pennsylvania Statutes Title 35 P.S. Health and Safety § 6700-403. Medical examination

No hearing aid is to be sold to any individual unless, within the preceding six months, the individual has been examined by an otologist or otolaryngologist or any licensed physician, and a written recommendation has been made by such physician that the use of a hearing aid may be beneficial to the physician's patient.

This section does not apply to (i) the replacement of parts or accessories or of a worn out or damaged hearing aid, or (ii) any individual who signs a written waiver as set forth in this section.  The waiver form must be in at least ten-point type.  The waiver must be read and explained in such a manner that the purchaser will be thoroughly aware of the consequences of signing the waiver.  The waiver form shall read as follows:

“I have been advised that my best interests would be served if I had a medical examination by an otologist or otolaryngologist or any licensed physician before my purchase of a hearing aid.

value of such medical examination.  After such explanation, I voluntarily sign this waiver.  I choose not to seek a medical examination before the purchase of the hearing aid.”

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(Signature of Registrant)	(Signature of Purchaser)