Get Unitron Quicksnap Form

Filling out the Unitron Quicksnap Form online is a straightforward process. This guide will help you navigate each section of the form, ensuring that you provide the necessary information accurately.

Follow the steps to complete the Unitron Quicksnap Form online.

1. Click ‘Get Form’ button to download the Unitron Quicksnap Form and open it for editing.
2. Begin by completing the date section at the top of the form. This section is essential for record-keeping purposes.
3. Indicate if you require a 24 Hour Rush or 48 Hour Rush service by marking the respective checkbox. Please note that additional charges apply.
4. In the 'Receiver Type' section, specify the ear for which you are ordering (left or right) and select the appropriate receiver type.
5. Provide the canal length for each ear by circling your choice (xS or xP). This detail impacts the fit and comfort of the earmold.
6. Fill in the patient information. Enter the first and last name, and age. Ensure the details are accurate as they are critical for processing the order.
7. Complete the audiogram section. Indicate the responses for the frequencies mentioned (250, 500, 1000, 2000, 3000, 4000) for both ears.
8. Select the earmold finish, shell color, and type from the provided options. Make sure these selections are aligned with the user's preferences and needs.
9. Continue to the sections for venting options and earmold styles. Circle your choices carefully to avoid mistakes.
10. Fill in any special instructions or additional requirements in the designated section to ensure your specific needs are addressed.
11. Once you have filled in all required sections, review the form for any omissions or errors. Fields highlighted in red must be completed.
12. After reviewing, save your changes to the form. You can then choose to download, print, or share the completed document as needed.

Complete your Unitron Quicksnap Form online today for a seamless experience.