Get Phonak Virto Order Form

Filling out the Phonak Virto Order Form online is a straightforward process that ensures the accurate order of custom hearing instruments. This guide provides detailed, step-by-step instructions to help you navigate through each section of the form effectively.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to access the order form and open it in your preferred editor.
2. Begin with the order details section by entering the required information, including the account number, last name, first name, hearing clinic, delivery address, and contact details.
3. Provide the necessary patient information, including the required audiogram for Acoustically Optimized Venting (AOV) and any additional contact details.
4. In the warranty and service section, specify if you would like the additional warranty or VIP service and any related details.
5. Fill in the scanned impression information, including the scan or serial number. Remember that new impressions are recommended if the scanned images are over 12 months old.
6. Select the technology level and/or CROS device from the options provided, ensuring to check compatibility with your needs.
7. Configure the hearing instrument by specifying the shell style, instrument type, and power level. Review all choices to suit your preferences.
8. Make selections for the product options such as shell color and wax system. Pay attention to the defaults if no options are selected.
9. Choose accessories and preferences that complement your hearing instruments, ensuring they fit your personal use and comfort.
10. Lastly, review your selections, add any special instructions or requests, and ensure all necessary fields are complete.
11. Once everything is correctly filled out, you can save changes, download, print, or share the completed form as needed.

Complete your Phonak Virto Order Form online today to ensure your hearing needs are met.