Hearing Services Program device quote template

Hearing services providers can customise this template when recommending a fully and/or partially subsidised device to a Hearing Services Program client.

You can adapt this template, but it must include the specified information. The appendix provides an example of a finished quote.

Hearing Services Program device quote template (effective from 1 July 2025)

Providers must use this updated form from 1 July 2024, however you can use this form sooner

Hearing Services Program Device Quote template

Hearing Services Program device quote template – examples

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Template
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English

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