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Click ‘Get Form’ to open the Phonak Audéo B RIC Order Form in the editor.
Begin by filling out the 'Order Details' section, including the account number and delivery address. Ensure all required fields are completed for a smooth processing.
In the 'Patient Information' section, provide details such as the patient's last name, first name, contact information, and audiogram data if applicable.
Proceed to select your hearing instrument from the options provided. Specify the model, part number, color, and quantity for each item you wish to order.
Choose your receiver option based on your needs. Make sure to indicate whether you require standard, power, or ultra-power receivers.
Fill in your coupling options by selecting sizes and types that suit your preferences. This includes domes or slim tips as needed.
Complete the sections for venting and wax management options according to your specifications.
Indicate if a CROS B fitting is required and select any additional accessories you may need before finalizing your order.

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Can I type my electronic signature on my phonak earmold order form?

Sure, a typed name is accepted as a legitimate electronic signature when you create it on your document utilizing a compliant solution like DocHub. Simply add your phonak earmold order form to our editor, click Sign in the top tool pane → Create your signature → Type your name in the proper tab, and choose how it will appear on your document.

How do you edit phonak service form online?

With DocHub, there are several convenient methods to edit your phonak service form online. You can drag and drop the form and edit it straight at the DocHub site or use our browser extension to fill out your form right away. Additionally, you can edit your PDF on your phone, as DocHub works with all the accessible mobile platforms.

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