Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Order Complimentary Hamilton® CapTel® Senior Care Materials As a member of the Senior Care Program, you’ll receive all educational and informational materials at no cost. To request a demo phone, Certificate of Hearing Loss/Order Forms, educational information and other program materials, please complete the information below or call 877-662-4144 for direct assistance. Materials *Demo PhoneOrder Form PadsEducational PamphletsName *FirstLast Address Materials Phone Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Please provide your e-mail address to verify your shipping address.Request Materials Now