Get Phonak Paradise Custom Order Form

Filling out the Phonak Paradise Custom Order Form online can streamline the process of obtaining custom hearing aids and accessories. This guide provides users with step-by-step instructions to ensure they complete the form accurately and efficiently.

Follow the steps to fill out the Phonak Paradise Custom Order Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your customer information, including your first and last name, address, city, state, zip code, age, and gender. Ensure all fields are correctly filled out for seamless processing.
3. Move to the patient information section, which includes necessary details such as the ship-to account number and the bill-to account number. Input the required account numbers accurately.
4. Provide the audiogram details, which are crucial for the AOV section. Make sure to include the frequency ranges of left and right hearing needs.
5. Fill in the contact information, including name, phone, and email addresses. This will help in communication regarding your order.
6. Select the desired HI warranty/rush options and technology level for your hearing devices. Make your selection from the available options.
7. Specify your hearing device selection, including quantity, instrument type, and style. You will also choose your preferred colors for the devices.
8. Complete the custom ear piece selections by indicating the shell styles, power levels, ear piece options, and colors, ensuring to choose options suitable for your needs.
9. If applicable, fill in the accessories section with any additional items you wish to order.
10. Review all entries for accuracy, then save changes, download, print, or share the completed form as needed.

Begin your custom order process online today.