Provider Resources Provider Portal Provider Portal Manual Order Quick Guide Referral Quick Guide Provider Training Documents Fraud, Waste and Abuse (CMS) Medicare Parts C and D General Compliance (CMS) CareCredit Application Service Forms Starkey Custom Repair and Remake Form Starkey Loss and Damage Replacement Form Starkey Return Exchange Form Starkey Standard Hearing Aid and Wireless- Accessory Repair Form Bernafon Return for Credit Form Bernafon Service Order Form Oticon Replacement Claim Form Oticon Return for Credit Form Oticon Service Form Phonak Return For Credit Form Phonak School Phonak Service Form Rexton Repair & Remake Form Rexton Return For Credit Form ReSound Repair & Remake ReSound Loss & Damage ReSound Return for Credit Signia Loss & Damage Form Signia Repair Form Signia Return for Credit Form Unitron Return For Credit Form Unitron Service Form Widex Loss & Damage Form Widex Repair & Remake Form Widex Return For Credit Form Order Forms Starkey Omega AI, Edge AI & Genesis AI Custom Order Form Starkey RIC/Custom Cased Receiver Order Form Starkey Earmold Order Form Starkey Evolv AI Custom Order Form Starkey Signature Series Order Form Starkey BTE Order Form Bernafon Alpha XT Earmold Order Form Bernafon Encanta Earmold Order Form GN Resound Order Form Oticon/Bernafon Order Form Oticon VarioTherm Earmold Order Form Oticon Pediatric Earmold Order Form Phonak cShell 6.0 Order Form Phonak Earmold Order Form Phonak SlimTip/CROS Tip 6.0 Order Form Phonak Pediatric Earmold Order Form Phonak Lumity & Paradise Custom Order Form Phonak Virto Infinio Order Form Phonak Virto R Infinio Order Form Signia RIC and Earmold Order Form Signia HP Receiver Order Form Signia Custom Order Form Signia BTE and Earmold Order Form Signia Silk Order Form Signia Silk Instant Fit & Earmold Order Form Unitron Moxi RIC & Custom Order Form Unitron Stride BTE & Earmold Order Form Unitron Vivante Moxi RIC & Custom Order Form Unitron Blu BTE & Earmold Order Form Unitron Insera B Custom Order Form Unitron Moxi Blu RIC & Custom Ear Piece Order Form Widex Evoke Custom Order Form Widex Evoke RIC BTE Order Form Widex Allure Order Form Widex SmartRIC Order Form Widex Moment RIX BTE Order Form Widex Moment Custom Order Form Other Forms Confirmation of Delivery