感謝您對carnia全植入聽力裝置感到興趣!

Otologic很高興能為您免費提供有關於Carnia全植入聽力裝置的信息和協助您找到最近提供我們的這革命性的裝置的聽力醫療專業人仕。如果您需要更多關於Carnia全植入聽力裝置的信息,請填妥以下問卷,以便我們能因應您的需要提供信息。 填妥後,請輸入您的姓名和聯絡方法,然後請 點擊 “更多信息! “按鈕。


How did you hear about the Carina Fully Implantable Hearing Device?
Audiologist Friend Internet
Magazine Newspaper Physician
Relative Television Other
What is your relationship to the person you're enquiring about?
I am an adult with a hearing impairment
I am a relative of an adult with a hearing impairment
I am a friend of an adult with a hearing impairment
I am a friend or relative or a child (person under 18) with a hearing impairment








Do you (or the person for whom you're enquiring) currently wear or have you ever worn a hearing aid?
Yes No
Do you (or the person for whom you're enquiring) have health insurance other than NHS?
No Other health insurance in addition to NHS
請選擇您/您正協助查詢的患者所受聽覺損失之程度: (如未曾接受過聽力測試,請選 “不知道”):
輕度 中度 中至重度
重度 深度 不知道

請選擇您/您正協助查詢的患者所受聽覺損失之類型:

感音神經性 傳導型 混合型
不知道

如果您有其他問題或意見,或對有關費用,財務安排或想與目前Carnia全植入聽力裝置使用者談話,請在這裡填寫

聯絡資料

名字:
姓氏:
地址:
城市:
州份:  Zip:
國家:
電郵地址
網頁地址
電話:
傳真:


 

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Carina™ is a registered trademark of Otologics, LLC.

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