We’ve made it simple to complete a Certificate of Hearing Loss/Order Form
Choose the method that’s best for you. If you have any questions, please call 877-455-4227 or send e-mail to order@hamiltoncaptel.com.
Choose the method that’s best for you. If you have any questions, please call 877-455-4227 or send e-mail to order@hamiltoncaptel.com.
By completing the form online, your patient will receive a Hamilton CapTel Phone as quickly as possible.
You can complete the order form on behalf of your patient or provide your patient with a pre-printed form for completion.
Integration of the Hamilton CapTel Certificate of Hearing Loss/Order Form into your Noah 4 Office Management Software is now available. With the HIMSA-certified module, see how easy it is to order a Hamilton CapTel Phone for your patients!
FCC regulations regarding Internet Protocol Captioned Telephone Service (IP CTS) change frequently. The most recent version of the Hamilton CapTel Hearing Healthcare Certificate of Hearing Loss/Order Form (revision date January 5, 2015) can be downloaded above.
Please contact Hamilton CapTel Customer Care with any questions you may have.
Hamilton CapTel Corporate Office
1006 12th Street
Aurora, NE 68818
Phone: 877-455-4227
E-mail: order@hamiltoncaptel.com