Get Phonak Dalia Custom Order Form

Filling out the Phonak Dalia Custom Order Form online is a crucial step for users seeking customized hearing solutions. This guide provides clear and detailed instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the Phonak Dalia Custom Order Form online.

1. Click 'Get Form' button to obtain the Phonak Dalia Custom Order Form and access it in the editor.
2. Fill in the date section by entering the day, month, and year in the corresponding fields.
3. Indicate if this is a rush order by checking the appropriate box and entering the purchase order number if applicable.
4. Provide the shipping and billing account numbers along with the corresponding phone numbers and company names in the specified fields.
5. Enter the contact name, typically the audiologist or dispenser, and ensure audiometric information is included with the order.
6. For client information, mark the gender option and fill in the first and last names of the user.
7. Complete the audiometric section by entering the necessary hearing levels, speech scores, and date of birth.
8. Select the appropriate spice+ instrument and model for your order under Step 1.
9. Choose the shell style, instrument type, and power level based on the user's needs in Step 2.
10. In Step 3, select any additional options such as volume control, telecoil, and color preferences.
11. Review the warranty plans in Step 4 and select the desired duration for consumer warranty and loss & damage coverage.
12. Use the comments section to add any specific requests or additional information relevant to the order.
13. After completing all fields, review your entries for accuracy. You can then save changes, download, print, or share the completed form.

Start filling out the Phonak Dalia Custom Order Form online today to create a personalized hearing solution.