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Hearing instrument model:
Model IIC: Battery size 10
Model CIC: Battery size 10
Model ITC: Battery size 13 or 312 (circle one)
Model ITE: Battery size 13 or 312 (circle one)
Model MIH: Battery size 13, 312, or 10 for MIH-S (circle one)
Left serial number:
Right serial number:
Specific features supported by your hearing system:
Smart Smart . . . . . . . . . . . . . . . . . . . . . 16
Volume control . . . . . . . . . . . . . . . . . . . 22
Program button. . . . . . . . . . . . . . . . . . . 23
Wireless . . . . . . . . . . . . . . . . . . 17, 25, 30
Ask your hearing care professional to mark the options supported by your hearing system.
Phone Now . . . . . . . . . . . . . . . . . . . . . . 27
Tinnitus Sound Generator . . . . . . . . . . . 35
Telecoil/Tele-loop system . . . . . . . . . . . 25
Power device-exceeds 132 dB SPL . . . . .
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