Ann Arbor/Ypsi: (734) 221-5080
Brighton: (810) 534-2200
MOSA Audiology Services and Hearing Aid Centers

MOSA Audiology – Patient Privacy/Financial Policy

As your health care providers, we value and respect your privacy.

Below you will find a link to our Michigan Otolaryngology Surgery Associates Patient Privacy policy, which explains how we protect your privacy. We have also posted a link to our Acknowledgement of Receipt form. This will indicate that you have seen the policy. You may print this form out and bring it to your appointment, and it will be part of your patient record.

We have also posted a link to our Financial Policy for your convenience.

These documents are in the PDF format for easy downloading. If you prefer, we will also have copies available at our office for you to fill out at the time of your appointment.

Patient Privacy Policy
Acknowledgement of Receipt
Financial Policy

MOSA Patient