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.

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.

Third Party Certification

Directions

Step 1
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
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
Return the signed form to CapTel by:

Note: Your doctor may be able to submit your form electronically on your behalf.

Fax the completed certification form to: 1-608-238-3008 or email to: Register@CapTel.com

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

Requirements:

  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

  • Speech Language Pathologist

  • Social Worker

audiologist

Alternatively, your state may offer a special program that provides a CapTel phone at no cost to qualified individuals. See equipment distribution programs available in your state: State Programs

For Hearing Health Professionals Only

Guidelines for Certification Process:

For Audiologists

For State Equipment Distribution Programs Only:

EDP Certification