Resound Earmold Order Form free printable template

GOVERNMENT SERVICES HAROLD ORDER FORM 1-800-392-9932 FAX 952-852-1990 BILL TO Account't #: 3 EM EM2 EM3 EM4 EM5 EM6 / EM7 EM8 EM9 MODEL FLEX-VENT (OPEN) hard L R soft L R CANAL hard L R soft L R HALF

How to fill out resound repair form pdf

How to fill out Resound Earmold Order Form

1. Start by downloading the Resound Earmold Order Form from the official website.
2. Fill in the patient's personal information, including name, address, and contact details.
3. Indicate the type of earmold required, based on the patient's specific hearing needs.
4. Provide the doctor's or audiologist's details, including their name, signature, and contact information.
5. Measure and enter the impressions of the ear(s) as directed on the form.
6. Specify any additional features or preferences for the earmold, such as color or style.
7. Review all entered information for accuracy.
8. Sign and date the form to confirm all information is correct.
9. Submit the completed form to the designated Resound processing center.

Who needs Resound Earmold Order Form?

1. Audiologists and hearing healthcare professionals who fit patients with hearing aids.
2. Patients requiring custom earmolds for their hearing devices.
3. Anyone interested in obtaining specialized earmolds for improved comfort and sound quality.

People Also Ask about gn resound usa custom earmold order forms

How do you choose an earmold?

The most common concerns in selecting the earmold style are acoustic seal, retention, insertion and comfort.Acoustic Seal The ear impression is properly taken; Structures of the patient's ear provide sufficient in-canal retention; Mandibular movements do not break the seal, and. The earmold is skillfully manufactured.

Why do people get ear molds?

Hearing protection is extremely important for everyone who experiences loud noise. Custom ear molds can help protect against noise-induced damage by reducing the effect of external noise and are even beneficial for comfort during leisurely activities such as swimming and listening to music.

Is acrylic or silicone earmold better?

Acrylic IEM shells are precision molded to your ear. The acrylic material feels soft and comfortable in the ear. Acrylic is also much easier to insert and remove from the ear. Silicone has a tacky texture and is very “grabby” when trying to insert it into the ear.

What is the difference between a dome and an earmold?

Earmolds versus domes Earmolds are made of either plastic or silicone and custom-fit so that they sit snugly and precisely within the ear canal. They generally have small vents in them to let air through. Dome styles, which look like small cones, are not customized to a person's individual ear shape.

What are the different types of earmolds?

Types of earmolds Full shell earmolds fill the entire concha of the ear. Half-shell earmolds look like a full shell that has been cut in half on a horizontal plane. A skeleton earmold or semi-skeleton earmold is like the full shell, but a hole is cut out to make a ring around the bowl of the ear.

How do you adjust the volume on a Resound GN hearing aid?

Slide the volume slider up to raise and down to lower the volume of the hearing aid.

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What is Resound Earmold Order Form?

The Resound Earmold Order Form is a document used by hearing healthcare professionals to request the fabrication of custom earmolds for their patients, ensuring a proper fit and optimal hearing aid performance.

Who is required to file Resound Earmold Order Form?

Hearing healthcare professionals such as audiologists and hearing aid dispensers are required to file the Resound Earmold Order Form when requesting earmolds for their patients.

How to fill out Resound Earmold Order Form?

To fill out the Resound Earmold Order Form, the professional must provide patient details, such as name, contact information, and specific earmold specifications, including impressions and any special requirements for the hearing aids.

What is the purpose of Resound Earmold Order Form?

The purpose of the Resound Earmold Order Form is to standardize the process of ordering custom earmolds, ensuring accurate and efficient communication between hearing care providers and earmold manufacturers.

What information must be reported on Resound Earmold Order Form?

The information that must be reported on the Resound Earmold Order Form includes the patient's name, contact information, earmold type, size, color preferences, and specific measurements or modifications needed for the individual's hearing aids.