5 Easy Steps To Fill Widex Earmold Order Form

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The world of audiology can be complex, especially when it comes to filling out order forms for custom earmolds. Widex, a leading manufacturer of hearing aids, requires a specific order form to be completed accurately to ensure the best possible fit and sound quality for the user. In this article, we will guide you through the process of filling out the Widex Earmold Order Form in 5 easy steps.

Understanding the Importance of Accurate Ordering

Accurate ordering is crucial when it comes to custom earmolds. A well-fitted earmold can significantly impact the sound quality and overall user experience. Incorrect ordering can lead to delays, remakes, and even returns, resulting in wasted time and resources. By following these 5 easy steps, you can ensure that your Widex Earmold Order Form is completed accurately and efficiently.

Step 1: Gather Required Information

Before starting to fill out the order form, gather all the necessary information. This includes:

• Patient's name and date of birth
• Hearing aid model and serial number
• Earmold type and style (e.g., full shell, half shell, or canal)
• Ear impression details (e.g., impression type, material, and date taken)
• Specific requirements or comments (e.g., vent size, tubing type, or special instructions)

Earmold Type and Style

When selecting the earmold type and style, consider the patient's specific needs and preferences. Widex offers a range of earmold types, including:

• Full shell: Covers the entire ear canal and outer ear
• Half shell: Covers only the lower portion of the ear canal
• Canal: A smaller, more discreet option that fits deep within the ear canal

Step 2: Measure and Record Ear Impressions

Accurate ear impressions are essential for creating a well-fitted earmold. Take the time to measure and record the ear impressions carefully. Include the following details:

• Impression type (e.g., open, closed, or modified)
• Impression material (e.g., silicone, alginate, or impression compound)
• Impression date
• Ear impression size (using the Widex ear impression size chart)

Ear Impression Size Chart

Refer to the Widex ear impression size chart to determine the correct size. Measure the ear impression from the tip of the helix to the bottom of the tragus.

Step 3: Select Earmold Features and Options

Choose the desired earmold features and options, such as:

• Vent size and type (e.g., small, medium, or large)
• Tubing type (e.g., thin, medium, or thick)
• Earmold material (e.g., acrylic, silicone, or rubber)
• Special instructions (e.g., modify for earphones or modify for hearing aid use)

Vent Size and Type

Select the vent size and type that best suits the patient's needs. Widex offers a range of vent sizes and types, including:

• Small vent: For mild to moderate hearing losses
• Medium vent: For moderate to severe hearing losses
• Large vent: For severe to profound hearing losses

Step 4: Review and Verify Order Form

Carefully review and verify the order form to ensure accuracy. Double-check the following:

• Patient's name and date of birth
• Hearing aid model and serial number
• Earmold type and style
• Ear impression details
• Earmold features and options

Verify Order Form

Use the Widex order form checklist to ensure that all necessary information is included.

Step 5: Submit Order Form

Once the order form is complete and verified, submit it to Widex for processing. Make sure to include any additional documentation or requirements, such as ear impressions or hearing aid information.

Tracking and Follow-up

Track the status of your order and follow up with Widex if necessary. This will ensure that your order is processed efficiently and accurately.

By following these 5 easy steps, you can ensure that your Widex Earmold Order Form is completed accurately and efficiently. Remember to gather all necessary information, measure and record ear impressions, select earmold features and options, review and verify the order form, and submit the order form for processing.

We hope this article has been informative and helpful. Share your thoughts and experiences with filling out the Widex Earmold Order Form in the comments below!