Repair Form

Your Name (Required)
Your Email (Required)
Your Phone Number (Required)

Your Alternate Phone Number

Your Address

City

State

Zip

How did you hear about us?

Problem with your hearing Aid(s):

Repair Options
Repair with 6-month warranty ($275 per Hearing Aid)Re-Case with 6-month warranty (We will call with price)Repair in warranty


What hearing aid side would you like to get repaired?
RightLeftBoth


Return Shipping and Service Options

How to ship your device? | Download the PDF repair form below