The electronic application has two separate sections, one for the parent to fill out and one for the audiologist to fill out. This allows each part to be filled out independently or together depending on what makes the most sense for each child. Tutorials are available at the bottom of the page.

To fill out the electronic application, please click below.

HAAPI Electronic Application: Parent Section

HAAPI Electronic Application: Audiologist Section

To fill out the paper application, please click below.

HAAPI Paper Application

Parent Section Tutorial

Audiologist Section Tutorial