Purchase a new America Hears hearing aid in 3 easy steps.

1. Get a hearing test from a local Audiologist then send in your Audiogram.

Provide us with your current audiogram (one not more than 6 months old).
Complete the necessary paperwork provided by your hearing care professional.

Submit your Audiogram

2. Select the America Hears hearing aid that is right for you.

The results of your audiogram will be compared to the fitting ranges of our digital hearing aids to determine which of these will best meet your specific needs. We will review your options with you and help you pick the model that will best meet your needs now and over the next few years, should your hearing needs change during the life of your Liberty hearing aids.

Complete the Contact Information form below and a health care professional will be in touch to walk you thru the entire process

 

Your Name (required)

Your Email (required)

Your Phone Number (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Best Time To Contact You

 

3. Complete the required Forms and submit to complete your purchase.

Complete and submit the HIPAA Privacy Policy form  by clicking the button “HIPAA Form” below and providing the information required.

View HIPAA Paperwork
Client Health History and Medical Waiver
Hearing Aid Disclosure Agreement – Money Back Guarantee
Hearing Aid Sales Receipt

HIPAA Form