Complete the form in its entirety. This requires your patient’s information and signature, as well as the signature of a Physician, Audiologist or Hearing Related Professional verifying your patient has a certified hearing loss.
Submit the signed certification/order form as directed.
Delivery typically takes 1-3 weeks.
If you have any questions, please call 877-662-4144
or send e-mail to SCP@HamiltonCapTel.com.