Forms and AAA/ASHA Guidelines

Forms and Guidelines for HAAPI Participating Audiologists

• Order Modification form
• Hearing Aid Return Form
• Exchange and Release
• Medical Clearance Form: Paper
• Medical Clearance Form: Electronic

Click below for the Invoice Form. 

• Electronic Invoice Form

To fill out the electronic application, please click below.

• HAAPI Electronic Application: Parent Section
• HAAPI Electronic Application: Audiologist Section

 

To fill out the paper forms, please click below.  Paper forms should only be used if electronic forms cannot be.

• HAAPI Paper Application: Parent Section
• HAAPI Paper Application: Audiologist Section
• HAAPI Paper Application: Full
• Paper invoice form

Click below for the Audiologist Registration Form.

• Electronic Audiologist Registration
• Paper Audiologist Registration

For your reference, we’ve posted the following guidelines for pediatric diagnosis and amplification:

• • AAA Pediatric Amplification Guidelines
  • ASHA Preferred Practice Patterns