CapTel Phone at No Cost

You may qualify for a CapTel Phone at no cost.

Third Party Certification

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.

Not able to visit your doctor’s office? No worries.

You can fill out the form and provide it to your doctor – either by email, by fax, or via U.S. Mail. Many offices can even certify your form electronically. You do not need to schedule an office visit to receive certification.

How to Get a CapTel Phone at No Cost

Third Party Certification of Eligibility for IP CapTel Services - No Cost CapTel - free phone — Certification Form

Step 1: Complete Form

Complete the Third Party Certification Form – by filling it out online or downloading the file and then saving it to send electronically, or by printing the form out to complete it in writing.

Step 2: Certify Form

Have the form signed & dated by a hearing professional as listed below. You can email, fax, or mail the completed form to your doctor for signature. Check with your doctor’s office for the correct contact information.

Step 3: Submit Form

Return the signed form to CapTel by:

Fax: 1-608-238-3008
Email: register@captel.com
U.S. Mail: 450 Science Drive, Madison, WI 53711
Local Outreach Educator: Find Local Outreach Educator
Your doctor may be able to submit your form electronically on your behalf.

Once we receive your signed certification form, we will contact you to arrange for free delivery and discuss the installation support options available.

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
Speech Language Pathologist
Social Worker