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*Shipping and contact Information:

*Fields marked with an asterisk are required.

*First Name:
Middle Name:
*Last Name:
Title:
*Address:
*City:
*State:
Province:
*Postal/Zip Code:
Country:
*Day Phone #:
Eve. Phone #:
Day Ext.:
Eve. Ext:
*Email Address:
Contact Me By:
privacy policy
How did you find us?

*What is the problem with the hearing aid?

L R  
Symptom:
 L R  
Symptom:
 L R  
Symptom:
 
Dead
   Feedback (whistling)  
 
Intermittent
   Distorted   Volume Control
 
Weak
   Noise/Static   Case Damage
 
High battery drain
   Motorboating   Fit Is Too Loose

*Repair Options:

L R Requested Services:
Aid Is In Warranty With Hearing Haven
Repair ~ $175 per hearing aid
Re-case ~ $275 per hearing aid (info on re-casing)
48 hour turn around ~ $20 (not available on re-cases)
Express shipping (1-2 day delivery time) ~ $18
Hearing aid dryer kit ~ $15

Programming Options

There is no charge for programming if requested at time of repair; otherwise, programming charges are $50 for one hearing aid, or $75 for two hearing aids.

We will not touch the programming of your hearing aid(s) unless this section is marked, or unless you have given us specific directions elsewhere to change the programming.

L
R
Requested Action
Re-program aids to the included audiogram (hearing test)

Hearing Aid Cloning:

(info on cloning)

Battery Orders

Batteries are $29 per carton of 40 batteries.

Battery Size:     How many cartons?

Payment Method:

Call when repaired - I will pay over the phone
A check or money order is enclosed
I will pay online
Other

Print page and include with aids:



Or submit it to us online:

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Ship Your Hearing Aid(s) To:

Hearing Haven
3044 Old Denton Road #111-311
Carrollton, TX 75007

************IMPORTANT************

Put your hearing aid into a hard container such as a prescription pill bottle, vitamin bottle, or a hard box. You can place that into a box or padded envelope, but please don't mail your hearing aid in only a padded envelope. Your hearing instrument will be protected much better this way.
 
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We will be closed for the holidays on December 31st and January 1st.

Shipping Address:

3044 Old Denton Rd.
STE #111 PMB #311
Carrollton, Texas 75007

Physical Location:

3740 Josey Lane
Suite #125
Carrollton, Texas 75007