Clinical Supplies - Patient Materials Order Form

To send your order please fill out the information below and your request will immediately be sent to your Lyric customer service representative. You can also call us with you order at 1 855 21 LYRIC (59742), Press 1 for Customer Service.

Clinic Information

* Required fields.


   

Contact Name:

*

Email Address:

*

Account Name:

*

Account Number:

*

Phone:

*

 

 

Lyric End User Kit
The Lyric End User Kit should be given to every NEW Lyric customer purchasing a subscription. Please continuously monitor your stock level of Lyric End User Kits to ensure that you always have enough on hand.


         

Product Name:

Image:

Part:

Price:

Quantity:

Lyric End User Kit Includes: SoundLync, user guide, 2 removal trays

054-0607

$17.50

 

Patient Materials


     

Product Name:

Image:

Quantity:

SoundLync Quick Reference (key chain)

Request for Medical Clearance (padform)

Lyric Candidacy & Fitting Checklist (padform)

     

Lyric User Guide
(English)

Lyric warranty card Stock
(English)

Lyric Counselling Movie