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Custom Ear Plug Appointment Request

Complete the following form to request a custom ear plug impression appointment.  Please note that a completed form does not constitute a booked appointment.  A Health and Hearing Conservation Consultants representative will be in touch with you via the contact information provided to finalize all appointment details.  You can also phone to book your appointment by calling: 1-877-920-TEST(8378)

 

NOTE:  All piercings in or on your ears will need to be removed during the molding process.

Client Information

 

Appointment Information

  • Appointments should be scheduled between 8:00am and 4:30pm, Monday - Friday. After-hours testing may be available for groups of 5 or greater. Please call us if this applies to your situation.
 

Custom Plug Type

 

Customization Options

 

Verification

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Schedule Your Appointment