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Get Bte / Custom / Fm Service Form Www.phonak-us
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How to fill out the BTE / Custom / FM Service Form online
This guide provides clear, step-by-step instructions on how to effectively fill out the BTE / Custom / FM Service Form online. Whether you are seeking repairs or modifications for your hearing devices, this user-friendly guide will assist you throughout the process.
Follow the steps to complete the form successfully:
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- Fill in the patient information section with the patient's last name, first name, date, model of the device, and purchase order number.
- Complete the billing information by providing the name and address for billing.
- Provide the shipping information by filling out the name and address where the service should be sent.
- Input the serial number of the device and the contact name along with their phone number for any follow-up communication.
- Indicate whether the device is under warranty by including the invoice number, if applicable.
- Enter the email address where updates and confirmations can be sent.
- Select the service option that best fits the repair needs of the device. Choose the appropriate service plan, which may include additional charges for different types of repairs.
- Describe the problem in detail in the provided section, using the codes and checkboxes if needed.
- Review all entered information for accuracy, then proceed to save changes, download, print, or share the completed form.
Complete your document and submit your form online today!
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