Downloads
Hearing Services Program application form (effective from 1 July 2025)
This updated form must be used from 1 July 2025, however you can use this form sooner.
Hearing Services Program application form
To send us this form by fax or post, download the PDF to your computer, then complete the form, print and send. You can print a blank form and fill it in by hand if you prefer, then send.
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Publication date:
Date last updated:
Publication type:
Form
Audience:
General public
Language:
English
Description:
There are 3 ways to apply for the Hearing Services Program. You can apply:
- online
- through a hearing services provider
- by completing this form and sending it to us.