Get Government Services Bte Custom Order Bformb - Phonak

Filling out the Government Services BTE Custom Order BFormb - Phonak is essential for ordering digital hearing aids tailored to individual needs. This guide provides step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete the order form.

1. Click the ‘Get Form’ button to access the order form and open it in your preferred editor.
2. Enter customer information in the provided fields. This includes the payer details, purchase order number, contact name, phone number, email address, shipping information, patient’s last name, social security number, city, state, and zip code.
3. Select the BTE product style required in the ‘BTE Product Style’ section by checking the options for the right and left ear as applicable. Choices range from Phonak Bolero models to color options, ensuring a tailored selection.
4. Choose the appropriate coupling type for each hearing aid from the options provided, such as earmolds or SlimTips, ensuring to designate for the right and left accordingly.
5. Specify the remotes and wireless accessories you wish to include with your order. Select from options like the Phonak PilotOne or ComPilot, and ensure the correct choices reflect user preferences.
6. Provide the audiometric data needed for preprogramming requests. Ensure accurate entries for frequency values and any additional preprogramming needs.
7. Review all sections of the form to confirm that all required fields are complete and accurate. This includes examining all selections for product styles and accessories.
8. Once you have completed the form, options to save changes, download, print, or share the document will be available. Ensure you take the necessary steps to secure a copy of your submission.

Start completing your Government Services BTE Custom Order BFormb - Phonak online today!