EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 15 › Forms

Form · OPT-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 15 (Optical and Hearing), criterion 15.3

Purpose

Records the measured need, the product fitted, and the fit check with the patient.

How to complete

Checks

Check Entry
Measured need recorded Yes
Product fitted Yes
Fit checked with patient before leaving Yes
Adjustment made (yes or no) Yes
Fitter and date Yes

Evidence

Reference Note
E-009 Based on the ASF Expert Committee consensus and the WHO World report on hearing (2021).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

E-learning for this document

No e-learning course is linked to this document yet.

References

Download this document as PDF
© 2026 Accréditation Sans Frontières · PHIG · Sheni Network