Third Party Certification

//Third Party Certification
Third Party Certification 2018-05-08T18:12:42+00:00

CapTel Phone at No Cost

Individuals with hearing loss may receive an Internet-based CapTel phone at no cost if they complete and submit a Third Party Certification of Eligibility. Certification must be signed by a hearing health professional, such as a doctor or audiologist, who confirms that the person has a hearing loss and requires CapTel Captioned Telephone Service in order to communicate effectively over the phone.
Third Party Certification


Step 1
Download & print the Third Party Certification Form

Step 2
Have the form signed & dated by a hearing professional as listed below.

Step 3
Fax the completed certification form to: 1-608-238-3008 or email to:

Once we receive your signed certification form, we will contact you to arrange for free delivery or on-site installation.


  1. Hearing loss that necessitates the use of Captioned Telephone Service to communicate over the phone.
  2. Third Party Certification form signed by your Doctor/Audiologist.
  3. High speed Internet access.
  4. Standard dial tone / phone connection.

Note: Third Party Certification ONLY applies to CapTel models that are Internet-based, such as the CapTel 840i / CapTel 2400i / CapTel 880i).

Professionals qualified to sign the Third Party Certification:

  • Audiologists

  • Doctors (with a hearing-related specialty)

  • Primary Physician

  • General Practice Physician

  • Ear Nose Throat (ENT) Doctor

  • Geriatric Practice

  • Nurse

  • Hearing Related Professionals

  • Hearing Instrument Specialists

  • Veterans Service Officer


For Hearing Health Professionals Only

Guidelines for Certification Process:

For Audiologists

For State Equipment Distribution Programs Only:

EDP Certification