New Clinic Start-up

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We are delighted that you are exploring the possibility of becoming a cochlear implant and/or Baha center. 

As you continue to explore the possibility of becoming an implant center, please take a few moments to complete the forms below. You can also contact the representative in your area or call our Clinic Customer Service group at: (877) 883-3101.

Online Forms:
Equipment and Software License Agreement
Credit Application

PDFs:
Equipment and Software License Agreement
Credit Application