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Request Hearing Screener
Download, fill up and email assessment form
for your customised hearing screener.
Send form to firstname.lastname@example.org
Please download and send the form to the following email address: email@example.com
*Confirmation email will be sent once the order is accepted.
If no confirmation is received within 1 working day, please call our customer service at 6895 2666 to check the order status.
*For orders with customizations, email is not needed. Please proceed to print, fill up the form and send it to Phonak Singapore with ear impressions.
For pick up arrangement, please call 6895 2666 for assistance.
Thank you for your cooperation.
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