Client Forms and Publications

The Office of Hearing Services (the Office) has a range of forms and publications to assist you.

New Client Voucher Application Form (PDF 114 KB)
Please download the application if you would like to apply for the Australian Government Hearing Services Program (the Program).

Understanding the Australian Government Hearing Services Program booklet (PDF 451 KB)
For further information about the Program and what to expect.

Change of Client Details (PDF 193 KB)
To notify the Office of any change to your personal details, please download and complete the change of client form and return it to the Office:

Postal:
Client Services and Application Support
Mail Drop Point 113
Office of Hearing Services
Department of Health and Ageing
GPO Box 9848
Canberra ACT 2601

Fax: (02) 6289 5443

General Email: hearing@health.gov.au

Eligibility Confirmation Form (PDF 117 KB)
If you are unsure of your eligibility to receive hearing services under the Program, please download and complete the eligibility confirmation form and return it to the Office (address above). Alternately you can call the Client Contact Line on 1800 500 726.

DVA Maintenance Eligibility Form (PDF 68 KB)
If you are eligible to receive an exemption for maintenance agreement payments under the Department of Veterans Affairs, please download and complete the DVA Maintenance Eligibility Form and return to the above address.

Statutory Declaration for Replacing Lost Aids (PDF 17 KB)
If you have lost your hearing device or it is damaged beyond repair, please download and complete the statutory declaration form outlining your circumstances. This form should be given to your hearing practitioner.

Voucher Verification Request Form (PDF 187 KB)
This request form should be completed at the time of assessment.

Clients Rights and Responsibilities Poster (PDF 1114 KB)
The Client Rights and Responsibilities Poster outlines the clients’ rights to be treated with respect, to be informed about treatment options, to be given a choice of hearing devices from Free-to-Client or Top-Up devices and privacy issues. It also outlines clients’ responsibilities to disclose relevant medical information, respect staff and participate in follow up care.

Read more: How can the Program help me
Read more: Am I eligible for a free hearing test?
Read more: Maintenance Agreement

If you are having any problems downloading attached content or viewing links on this page please email: hearing@health.gov.au.



The Office of Hearing Service web pages on the Department of Health and Ageing's website will soon be transitioning to a new website. The content will be migrated to a new platform which will be fully WCAG 2.0 level A compliant.

If you require assistance viewing the content on these pages, please email hearing services or contact 1800 500 726 for assistance.