Get Phonak Order Forms

Filling out the Phonak Order Forms online can streamline the process of ordering hearing instruments for individuals with varying degrees of hearing loss. This guide will provide you with clear, step-by-step instructions to help you complete the forms accurately and efficiently.

Follow the steps to successfully complete the Phonak Order Forms online.

1. Press the ‘Get Form’ button to access the Phonak Order Forms and open it in your preferred editor.
2. Begin with the Order Details section, where you will input essential information regarding the order.
3. Fill in the Patient Information section by providing the account number, last name, hearing clinic name, first name, delivery address, and contact details. Ensure to include a phone number and email address.
4. Complete the HI Warranty/VIP Service options by selecting the applicable warranty or service plan.
5. Choose your Hearing Instrument by selecting the model, part number, and desired color. Ensure to indicate the quantity for each item.
6. Select your receiver option based on the specific needs — whether it is Standard, Power, or UltraPower xReceiver.
7. Decide on the coupling options, such as domes or slim tips, and specify sizes as needed.
8. Indicate the wax management and handling options that suit the hearing instruments, ensuring to specify preferences for left (L) and right (R) options.
9. Determine if a CROS B fitting is required and complete the corresponding details if necessary.
10. Choose any additional accessories you would like, ensuring to select complimentary items as applicable.
11. Once all sections are filled out, review the form for accuracy. You can then save changes, download, print, or share the completed form.

Begin filling out your Phonak Order Forms online today!