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For Hearing Aids

Please Use the Form Below:

Download The Hearing Aid Order Form
Please click the button above to download the Perfect Seal Hearing Aid Order Form. Fill out the appropriate information and return it along with your impression(s) to:

Mail to:
Perfect Seal Laboratories, Inc.
3010 W Central
Wichita, KS 67203

Submit Order Form Here

Or call us to set up an appointment to create new ear impressions at:
316-262-9810

For Music or Plug Orders

Please Use the Form Below. We will contact you to complete your order.