For Information on Hearing Loss in Children
Please fill out the form below. The information is free. Please allow three weeks for delivery.

For Hearing Aid Fitting Applications
To receive assistance through the Children's Foundation, the child must be:

• A resident of the United States.
• 16 years old or younger and have a hearing loss that requires amplification.
• In possession of an audiogram and medical clearance dated within the last 6 months. FDA requires medical clearance be signed by a physician.
• In a family with an income level which does not allow the family to receive public support. $20,000-$50,000 gross.
• In a family committed to intervention, rehabilitation, and necessary follow-up services as the child grows.

Applications are evaluated on a case by case bases. Applications will be sent to U.S. addresses only. The name and address of the child's parent or guardian are required for application requests. Supplemental contact information (phone numbers and email addresses) may also be helpful in turning around information requests.

You may also request information by calling the Miracle-Ear^® Children's Foundation directly at 1-800-234-5422.