Thanks for your interest!
Please complete the form below:
How did you hear about the Carina Fully Implantable Hearing Device?
What is your relationship to the person you're inquiring about?
Do you/the patient currently wear or have you/has the patient ever worn a hearing aid?
Describe your/the patientís level of hearing difficulty (if your/the patientís hearing hasnít been tested, please select Don't Know):
Please describe the type of hearing impairment you have/the patient has:
If you have additional questions or comments, please write them here:
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