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N$25ORDER FORMAT CUSTOM EARMOLD1.800.248.4327 FAX 1.800.528.2522TRADITIONAL EARMOLDPATIENT INFORMATION ACCT #LAST NAME ___SHIP TO ___FIRST NAME ___ADDRESS ___IMPRESSION (circle):OPEN JAW___SPECIAL
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How to fill out bte custom earmold

01
Schedule an appointment with an audiologist or hearing healthcare professional.
02
Choose the appropriate type and size of earmold based on your ear anatomy and hearing needs.
03
Have an impression taken of your ear canal and outer ear.
04
Provide any specific preferences or requirements for the earmold design.
05
Wait for the custom earmold to be manufactured and fitted by the professional.
06
Follow any care instructions provided for maintaining the earmold.

Who needs bte custom earmold?

01
Those with mild to severe hearing loss who use behind-the-ear (BTE) hearing aids.
02
Individuals who require a secure and comfortable fit for their hearing aids.
03
People who may have irregularly shaped ear canals or unique ear anatomy that requires a custom fit.
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BTE custom earmold refers to a personalized hearing aid fitting that is designed specifically to match the shape of an individual's ear, providing better sound quality and comfort.
Individuals who are seeking to obtain or modify a BTE custom earmold as part of their hearing aid services are typically required to file the necessary documentation.
To fill out the BTE custom earmold, individuals need to follow the provided forms, including their personal information, the specifications for the earmold, and any dietary or medical restrictions relevant to the fitting process.
The purpose of a BTE custom earmold is to enhance the effectiveness of hearing aids by creating a better seal in the ear, reducing feedback, and improving overall sound quality.
The information that must be reported includes the individual's name, contact information, specific ear measurements, and any relevant audiological data.
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