Consent Form

Independent Hearing Care is governed by these terms and conditions.

Wax removal via micro-suction is considered safer than other methods such as syringing. The wax removal will be carried out by a trained clinician working to the protocols set out within the Ear Wax Removal Clinic’sTM Aural Micro Suction Procedures Manual. Complications of ear wax removal with micro-suction are uncommon; however possible complications, side effects and material risks inherent in the procedure include but are not limited to: incomplete removal of ear wax requiring a return visit (for severely impacted wax), minor bleeding, discomfort, ringing in the ear (tinnitus), perforation of the ear drum and hearing loss.

To ensure the risk of complication is minimal, it is essential that accurate past medical history is supplied to our clinicians. In addition, it is important that the patient remains relatively still during the procedure as sudden movement may significantly increase the risk of ear drum perforation, permanent hearing loss and/or bleeding. The CE marked suction unit is to remove fluids from the airway or respiratory support system and infectious materials from wounds and has been adapted for aural micro-suction.

By agreeing to these terms and conditions you accept that you have read and you understand the possible complications that may occur and agree that the Ear Wax Removal ClinicTM hearing specialists, or any of its employees, cannot be held responsible for them.

Independent Hearing Care will do everything in its powers to make sure we keep you safe from Covid 19. If you accept your appointment Independent Hearing Care will not be held responsible if you contract Covid 19. You accept your appointment at your own risk, and we accept to carry out the appointment at our own risk.