Signature RIC / DEAFMETAL®

Signature RIC Earmolds & Deafmetal^®

Please read before ordering

This online order form is for Microsonic Signature RIC Earmolds and the RIC/DEAFMETAL® Jewelry Bundle only.
For more information about our RIC earmolds, CLICK HERE.

Only interested in DEAFMETAL® jewelry at Audiologist Pricing? Simply visit our AuD Accessory Store.

This online order form is for registered audiology customers with an existing account number. If you would like to set up an account, please give us a call at 800-523-7672 or contact us here.

Order Remakes by visiting our Customer Support Page

3D impression scans can be uploaded through this online order form. If you are mailing ear impressions, please include your Order Summary with the mailed-in impressions.

Order Number
Account Number*

Step 1: Patient, Audiologist, and Impression Details
Date
Same Day Lab Process & Overnight Shipping
All "same day" lab requests must be received by 10:30 AM. Otherwise, order will be shipped on next business day.

Additional charges of $16/ear Lab Fee and $30 Overnight Shipping apply.
- Yes
Business Name*
Promo Code
PO# (If applicable)
Medicare/Medicaid# (If applicable)
Patient Name*
First Last
Audiologist Name*
Prefix First Last
Audiologist Email*
Audiologist Phone (USA)
Audiologist Phone (International)
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Audiologist Phone
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Audiologist Phone: International
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Impressions (R/L)
If you are configuring earmolds differently for each ear, please complete two online forms, one for each ear.
Use impressions from previous order #
Return Impressions
Is this a REMAKE?*
If a remake, a full explanation is required. *Please return original guarantee.
Reason for Remake.
Are you mailing your impressions?*
- YES
- NO
Are you uploading your impression scans?
- YES
What type of scanner did you use?*
If you are submitting LANTOS ear scans for this order, please upload scans to the LANTOS Cloud.
Otoscan® Package ID Number
Upload Impression Scans
Drop files here or

Accepted file types: zip, stl, asc, Max. file size: 100 MB.
Impression Quality Standard
It is important to submit a complete and accurate impression. 1GB upload limit.
Upload LANTOS Scans
Drop files here or

Accepted file types: zip, stl, asc, Max. file size: 100 MB.
Impression Quality Standard
It is important to submit a complete and accurate impression. 1GB upload limit.
Upload In-Ear Scans - All Others
Drop files here or

Accepted file types: zip, stl, asc, hps, Max. file size: 100 MB.
Impression Quality Standard
It is important to submit a complete and accurate impression. 1GB upload limit.
Do you have any supporting documents or images?
- YES
Upload Supporting Documents and Images
Supported file-types:
.jpg .png .psd .doc .docx .pdf .xlsx .xls .tif .tiff .txt
Drop files here or

Accepted file types: jpg, png, psd, doc, docx, pdf, xlsx, xls, tif, tiff, Max. file size: 100 MB.
Special Instructions

Step 2: Shipping Details
Ship to Office or Patient?*
Main Office Name
Satellite Office Name
Patient Name
First Last
Ship to Main Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Ship to Satellite Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Ship to Patient
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Select Shipping Method
- Ground
- 2nd Day Air
- Next Day Air
- USPS Regular
- USPS Priority Mail
Use Your Own Account (optional)
- FedEx
- UPS
Your Account Number
Your Account Number
SAME-DAY LAB SHIPPING
You are submitting a "Same Day Lab" order.
This includes Overnight Shipping. [$28]
Special Mailing Instructions

Step 3: Signature RIC Earmolds
CUSTOM RIC PRICING
$42.00/per piece

• Select a Signature RIC earmold below.
• You MUST send receivers to Microsonic Inc. for Signature RIC products.
• Please use our HEARING AID EARMOLDS portal to order silicone RIC earmolds that do not require you to mail-in receivers.
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Signature RIC Styles
For RIC / SLIM (thin) Tube
- Signature CIC Style for
  RIC / Slim (thin)Tube
Signature CIC Style for RIC / Slim (thin)Tube
Signature BTE w/#13 Tubing, Slim (thin) Tube, or RIC
Standard Earmolds for RIC / Slim (thin) Tube
Standard Non-Occluding w/#13 Tubing & Slim (thin) Tubes
Other Custom Earmolds
#BF4 Lilly Features:
• Discreet CIC Style
• Venting (optional)
• RIC Only
• Recessed, position at 2nd bend
• Built-in Universal Connector for Receiver
• Right / Left Engraving is included
• Platinum Silicone Material
• Translucent with matte
• M60 Medical Grade Silicone
#CV5 CAVERN-LOK Description
• CIC Style, Occluding
• RIC or SLIM (Thin) TUBE
• Discreet Retention Lock (recommended)
• Right / Left Engraving is included
• Transparent Tint
• Silicone Material
#CV4 CAVERN Description
• CIC Style, Occluding
• RIC or SLIM (Thin) TUBE
• No Retention Lock
• Right / Left Engraving is included
• Transparent Tint
• Silicone Material
#CV05 OPEN CAVERN-LOK
• CIC Style, Open-Fit
• RIC or SLIM (thin) TUBE
• Discreet Retention Lock (recommended)
• Right / Left Engraving is included
• Transparent Tint
• Silicone Material
#CVO4 OPEN CAVERN
• CIC Style, Open-Fit
• RIC or SLIM (Thin) TUBE
• No Retention Lock
• Right / Left Engraving is included
• Transparent Tint
• Silicone Material
Ear Selection
Venting Options
#1A REGULAR W/TUBING
• Logo $6.00
• Special Shape $9.50

Special Notes:
• Occluding
• All Materials EXCEPT M2000
• Used with external receiver that snaps into earmold
#2 SKELETON
• Logo N/A
• Special Shape N/A

Special Notes:
• Occluding
• All Materials
• Open space in concha for appearance
#2A ¾ SKELETON
• Logo N/A
• Special Shape N/A

Special Notes:
• Occluding
• All Materials
• Recommended Skeleton style for dexterity issues
#2B ½ SKELETON
• Logo N/A
• Special Shape N/A

Special Notes:
• Occluding
• All Materials
• Recommended Skeleton style for dexterity issues
#OF2 OPEN-FIT SKELETON
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#SL2 SLIM-FIT SKELETON
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#3 SEMI-SKELETON
• Logo N/A
• Special Shape N/A

Special Notes: • Occluding
• All Materials
• Recommended for ears with flat concha rim to avoid
earmold sticking out from ear
#4 CANAL
• Logo N/A
• Special Shape N/A
#SL4 SLIM-FIT CANAL
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#OF4 OPEN-FIT CANAL
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#5 CANAL-LOK
• Logo N/A
• Special Shape N/A
#SL5 SLIM-FIT CANAL-LOK
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#5A CANAL WITH HELIX
• Logo N/A
• Special Shape N/A
#5L CANAL WITH LONG LOK
• Logo N/A
• Special Shape N/A
#OF5 OPEN-FIT CANAL-LOK
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#6 SHELL
• Logo $6.00
• Special Shape $9.50
#SL6 SLIM-FIT SHELL
• RIC & Slim (thin) Tube
• Logo $6.00
• Special Shape $9.50
#7 CANAL SHELL
• Logo N/A
• Special Shape N/A
#7A 3/4 SHELL
• Logo $6.00
• Special Shape $9.50
#OF7 OPEN-FIT CANAL SHELL
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#SL7 SLIM-FIT CANAL SHEL
• RIC & Slim (thin) Tube
• Logo N/A
• Special Shape N/A
#17 CROS B
• Logo N/A
• Special Shape N/A
#21A ADV. DESIGN FREE FIELD
• S.A.V. included
• Logo N/A
• Special Shape N/A
#21B ADV. DESIGN FREE FIELD
• S.A.V. included
• Logo N/A
• Special Shape N/A
#21C ADV. DESIGN FREE FIELD
• S.A.V. included
• Logo N/A
• Special Shape N/A
#41A ADV. DESIGN FREE FIELD
• CANAL-LOK Style
• Logo N/A
• Special Shape N/A
#41B ADV. DESIGN FREE FIELD
• CANAL-LOK Style
• Logo N/A
• Special Shape N/A
#41C ADV. DESIGN FREE FIELD
• CANAL-LOK Style
• Logo N/A
• Special Shape N/A
#OF2 OPEN-FIT SKELETON
• Provides largest vent possible.
#SL2 SLIM-FIT SKELETON
• S.A.V. + $3.00
#OF4 OPEN-FIT CANAL
• Provides largest vent possible
• L/R Indicators included
• Acrylic + $1.00
#SL4 SLIM-FIT CANAL
• L/R Indicators included
• Acrylic + $1.00
• S.A.V. + $3.00
#SL5 SLIM-FIT CANAL-LOK
• S.A.V. + $3.00
#OF5 OPEN-FIT CANAL
• Provides largest vent possible.
#SL6 SLIM-FIT SHELL
• S.A.V. + $3.00
#OF7 OPEN-FIT | CANAL-SHELL
• Provides largest vent possible.
#SL7 SLIM-FIT CANAL-SHELL
• Provides largest vent possible.
#16 CROS A (no vent)
• Arylic Only - $42.00
• Completely open canal
• Designed for CROS & many IROS fittings
• Canal-Long Lok Style.
#17 CROS B (no vent)
• Designed for CROS and many IROS fittings
• Skeleton style
#18 CROS C (no vent)
• Recommended for attaching the offside
microphone or transmitter in a BTE CROS
or BICROS fitting
#18 CROS C (no vent)
• Seals entrance while leaving the entire canal unoccluded.
• Eliminates feedback
• SAV included
#21B ADV. DESIGN FREE FIELD
• Seals entrance while leaving the most canal unoccluded.
• Eliminates feedback
• SAV included
#21C ADV. DESIGN FREE FIELD
• A step reduction at the end of the canal for moderate occlusion • Eliminates feedback
• SAV included
#41A ADV. DESIGN FREE FIELD
• CANAL-LOK STYLE
• Functions identical to #21A
#41B ADV. DESIGN FREE FIELD
• CANAL-LOK STYLE
• Functions identical to #21B
#41C ADV. DESIGN FREE FIELD
• CANAL-LOK STYLE
• Functions identical to #21C
#23 - Solid, Non-Floating
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#23A - Solid, Non-Floating w/Handles
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#23B - Solid, Non-Floating w/Cord
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#23C - Solid, Non-Floating w/Cord
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#24 - Solid, Floating
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#24A - Solid, Floating w/Handles
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#24B - Solid, Floating w/Cord
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#24C - Solid, Floating w/Handels + Cord
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#26 - Skeleton Uplift
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#27 - Canal Shell Uplift
• Full Shell Style
• Glossy Finish
• M35 Silicone [Translucent Colors]
#30C - Earmold for AirPods Pro^®
• Skeleton Style
• Compatible with Apple^® products
• Apple® Models: EarPods^®, AirPods^®, AirPods Pro^®
• Glossy Finish
• M35 Silicone [Translucent Colors]
#30A - Earmolds for Earphones
• Canal Style
• Compatible with most earphones
• Default Style for Sennheiser^® earphones
• Sennheiser^® Models: 80S, 80S BT, 800S
• Glossy or Matte Finish
• M35 Silicone [Translucent Colors]
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Have you selected a RIC earmold?*
- Yes - I have selected a RIC Earmold.