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Resound custom earmold order

Westone earmold order form 2026

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The document is an order form for custom earmolds from Resound, detailing patient and account information, impression types, earmold specifications, color options, canal lengths, materials, venting modifications, and additional features. It serves as a comprehensive guide for healthcare providers to accurately order customized hearing aid components.

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Click ‘Get Form’ to open the westone earmold order form in the editor.
Begin by filling out the 'Account Information' section. Enter the store number, patient’s last and first name, address, city, state, and zip code.
In the 'Impression' section, select either 'Open Jaw' or 'Closed Jaw' based on your requirements.
Provide any special instructions in the designated field to ensure accurate processing of your order.
Complete the 'Receiver' section by indicating whether you need a receiver included and specify its size.
Fill out details regarding shell color, canal length, material type, and any additional options as needed.
Finally, review all entries for accuracy before submitting your completed form through our platform.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the sections of a hearing aid?

Hearing aid parts Hearing aids use these parts to help pick up and amplify sound from your environment and channel it into your ear: microphone (detects the sound), amplifier (makes the sound stronger), speaker (sends the sound into your ear so that you can hear it), battery (provides power to the electronic parts).

How to clean a hearing aid ear mold?

0:06 0:48 Aid. Next use a tissue ear mold brush or wax pick to remove any ear wax near the end of the ear moldMoreAid. Next use a tissue ear mold brush or wax pick to remove any ear wax near the end of the ear mold. Finally use an ear mold tubing blower to blow out any moisture buildup from inside the tubing.

What is the phone number for Westone?

Contact Westone Customer Service by e-mail at: customerservice@westone.com or call us at 800-525-5071.

What are the parts of a hearing aid earmold?

Occluding earmolds are generally made into two styles, concha and canal. Concha earmolds occupy the ear concha and canal, whereas canal styles occupy the cavum concha, fitting in the canal aperture. Within those formats, there are typically several substyles: standard, shell, skeleton, and canal, and their variations.

What are parts of a hearing aid called?

Each of the three types of hearing aids, regardless of style, comes with four basic hearing aid parts: the microphone, the amplifier, the speaker and the battery.

resound custom earmold order form

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What is the venting in the ear Mould?

Venting in earmoulds has been used for many years to control the sound pressure level in the ear canal at low frequencies and to make the hearing aid more comfortable to wear.