Download Patient Applications
Download the new AUDIENT Program Application
(PDF | 47.1 KB)
If you are unable to download the application, please call: 866-956-5400 to request a copy.
If you are unable to afford the reduced cost of the hearing aids through the AUDIENT program, it may be helpful to seek additional financial support for purchasing the aids through a low-interest rate Assistive Technology loan. The types of loans offered varies by state. You can find information for your state by visiting http://www.resnaprojects.org/AFTAP/state/RESNA.html.
Updated July 30, 2010
