SHARP

Sertoma Hearing Aid Recycling Program

YOU MAY NOT QUALIFY FOR A LOANED HEARING AID IF:

1. you reside in a nursing home (If yes, extra documentation is required) or,
2. you can finance a hearing aid purchase.

APPLICANT MUST:

1. Live in Oklahoma or live in four specific counties in Kansas which are Montgomery, Labette, Wilson, and Chautauqua.


2. Complete the application form and be willing to document financial need with; tax returns, check stubs, etc. if asked.


3. If currently residing in a nursing home, complete and return the Nursing Home Questionnaire portion of the SHARP application.


4. Attach fifty ($50) dollar-processing fee with application on application.


5. Attach a copy of a recent (within 6 months) hearing evaluation by an audiologist. The applicant must have a hearing loss of at least 30 db in the better ear to qualify.


6. Take care of any medical problems indicated by the hearing evaluation.


7. Mail your completed application with the audiology test and processing fee to:
   SHARP
   c/o TSHA
   8740 E. 11th St.  Suite A
   Tulsa, OK  74142
   (application takes approximately 4-8 weeks to process)

Downloadable Application Forms

Adult Application Form
(Includes Nursing Home Application)

Child's Application Form