Get Resound Custom Order Form
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How to fill out the Resound Custom Order Form online
Filling out the Resound Custom Order Form online is a straightforward process that helps ensure your custom orders are accurately processed. This guide provides step-by-step instructions to assist you in completing each section effectively.
Follow the steps to complete the Resound Custom Order Form accurately.
- Click ‘Get Form’ button to obtain the form and open it for completion.
- Enter the shipping information in the 'Ship To' section. Include your account number, office name, and full address including city, state, and zip code.
- If applicable, fill out the '3rd Party Bill-to' section with the necessary billing information.
- Complete the 'Contact Information' section with the date, office phone, and main office contact person.
- Select the receiver type by marking either 'Normal Power' or 'High Power' based on your needs.
- Choose a micro-mold color by ticking the preferred option from clear, rose, light, medium, dark, blue/red, or other available choices.
- Select a faceplate color from the provided options according to your preference.
- Decide on the vent type by selecting from the available vent options, or choose 'None' if no vent is required.
- Choose the wax protection type, and indicate whether you're opting for CeruSTOPâ„¢ or HF3.
- Specify whether a removal cord is needed by selecting the appropriate option.
- If applicable, fill in the 'Audiogram Data' to provide necessary hearing details. Indicate any previous user experience.
- Complete the 'Impression Information' by selecting jaw position and ear consistency.
- If there are any special instructions or requests, make sure to add them clearly in the designated areas.
- Review all provided information for accuracy and completeness before proceeding.
- Once finished, save your changes, download, print, or share the completed form as required.
Begin filling out your Resound Custom Order Form online today!
Related links form
ReSound and Danalogic are not the same; they operate independently within the hearing aid industry. ReSound focuses on developing innovative hearing solutions and technology, while Danalogic specializes in different areas of hearing health. If you desire an optimal hearing experience, explore what ReSound has to offer by filling out the Resound Custom Order Form, which helps tailor hearing solutions just for you.
Fill Resound Custom Order Form
Please let your ReSound contact know about topics you'd like us to cover or quickly submit your ideas via our content request form. Access downloadable support materials for ReSound's custom-made products, including user guides, fitting guides and datasheets. Please mark the horizontal plane on the Ear Impressions. This file is an order form for ReSound GN custom earmolds. It includes detailed patient information and instructions for filling it out. Home visits within Greater London and around the M25. Offering an expertly fit hearing solution, custom made for your patients to sound natural, feel natural and connect them naturally to the world. Please either order your ReSound earmolds on ReSound Pro (pro.resound. Com) through the New Earmold Ordering link or the vendor of your choice. No pressure, no sales pitch—just a quick conversation that can be wrapped up in under two minutes .
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