Request Information - Widex® Australia site on hearing loss, hearing, digital hearing aids and quality of life

Information Request

To allow us to determine the type of information you require, please complete the below form and press Submit.

All enquiries are treated confidentially, and under no circumstances are your details provided to other persons/organisations outside of Widex without your express consent.

If you would prefer to contact us via telephone, our contact details are as follow -

Widex Australia Pty Ltd
164 Wellington Street
Collingwood VIC 3066
1800 999 659

* Items indicated with an asterisk are required to be completed.

Contact Information

Name:*

Address:*

Suburb:*

Postcode:*

Telephone:*

Email:

Background Information

Are you a pensioner or DVA client?*

Do you use Widex Hearing Aids?*

Are you contacting Widex on behalf of family/friend?*

How did you hear about Widex Australia:*

Please send me general information on

Hearing Loss

Information for Pensioners or Veterans

Government Hearing Services Program

Assistive Listening Devices

Other - please specify

In addition to providing you with information, Widex have a network of Accredited Providers who are located near you. Would you like us to pass your details onto them so that they can contact you personally and set up an appointment for a hearing assessment?

Yes please

Other comments