HIMSA Noah® Certificate of Hearing Loss/Order Form Module

No more handwriting, scanning, faxing or copying. Just click and confirm to connect your patients with family, friends… and you. It takes less than a minute and the results will keep your patients talking for a lifetime.

• Fast, reliable, and secure

  All data submitted via the Hamilton CapTel Noah Module is encrypted when connecting over the Internet, so your patient’s personal information remains secure while processing the order.

• The Hamilton CapTel Noah Module is officially certified by HIMSA

  The current version of the Hamilton CapTel Noah Module was certified by HIMSA and released publicly on May 19, 2016. All certified modules can be identified on the HIMSA website.

• Easy download and installation

  Visit the Step-By-Step Guide to learn how quickly and easily you can download and install the Hamilton CapTel module for your Noah system.

• There is no cost to you or your patient

  There is no cost to you or your patient for using the Hamilton CapTel Noah Module or for participating in the Hamilton CapTel Hearing Healthcare Program.

• The Hamilton CapTel phone ships directly to your patient

  You will receive a notification that the order was submitted. Prior to the Hamilton CapTel Phone shipping, the applicant will also be contacted to verify delivery information. Please allow 1-3 weeks for delivery.

• Check the status of your patient’s order

  When the Certificate of Hearing Loss/Order Form is completed, you will receive an associated Certification ID as part of the completed form. If you have questions or need to contact Hamilton CapTel about the certification, complete the support form and include the Certification ID.

Once you complete the registration form, you’re just a click away from downloading the HIMSA-certified Hamilton CapTel Noah 4 module!