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Resound Earmold Order Form

Resound Earmold Order Form

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_____________________________________________ Address: ______________________________________________ RACHAP Address: ______________________________________________ ACTIVE DUTY INDIAN HEALTH City/State: ____________________________________________ OTHER Zip: ___________________ PATIENT DATA: Patient’s name: SSN: LAST: FIRST: Patient’s age: Previous user: YES 1.5k 4k NO Audiogram data: 250 500 1k 2k 3k soft L R hard L R soft L R EM4 EM5 HALF SHELL FULL SHELL hard L...
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Video instructions and help with filling out and completing Resound Ear mold Order Form

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Instructions and help about gn resound repair form

To install a sure fit receiver into a hollow cavity ear mold snap the wire into the corresponding opened end of the replacement tool slide the tool forward until the receiver is completely seated against the tool next line up the receiver nozzle with the center of the sleeve at the canal tip of the ear mold carefully push the receiver into the ear mold until it snaps into place at the canal tip and then gently pull the tool free from the receiver and as a note if the wax filter is flush with the ear mold canal tip the receiver is correctly mounted how to remove a surfeit receiver from a hollow cavity ear mold using the replacement tool place the tiny node on the top of the knob into the center of the stereo stop wax filter once the tool is in place apply control pressure to make the receiver pop out from the sleeve at the canal tip

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