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Apply for your FREE PHONE from CTAP

Apply Now

It's Easy:

1
Download and fill out application

2
Get signature
of a certified professional

3
Submit application by mail, fax, or in person

 

Or call us today
1-800-806-1191

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An Official State of California Program

How to get your form certified.

In order to get approved for a California Phone, Section 2 of your Application form must be certified by a qualified professional. Your current doctor, audiologist, or other specialist (as listed on the Application form) can fill out Section 2 of the form.

Need to find a Certifying Agent?

If you do not have a doctor, you can search here to find a doctor or other medical professional in your area who can sign your Certification Form. Select a specialty below, or leave it blank for a larger number of results.

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Specialty: Audiologist
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