• Please use this form to request hearing device batteries and supplies.

    Please do not use this form to book appointments.

    For alternative ways to obtain batteries and maintenance supplies please see our leaflet Local hearing help sessions | CUH.

  • Which service do you need?

  • To help us send your request to the right place, please let us know which service you need.
  • Emmeline Centre

  • Please complete the form below.

    If you prefer to contact us by phone please call: 01223 217589
    If you want to email us direct please email: cuh.emmeline.equip@nhs.net 

  • Batteries required
  • Only disposable batteries are provided by the Emmeline Centre. If you require replacement rechargeable batteries, please contact your manufacturer.

  • Audiology

  • Please complete the form below.

    If you prefer to contact us by phone please call: 01223 217797
    If you want to email us direct please email: cuh.audiology@nhs.net

  • Which service do you require?*
  • Left hearing aid batteries*
  • Right hearing aid batteries*
  • I would like*
  • Please note we are only able to send a maximum of two packets for each hearing aid.

  • We will send appropriate tubing or mainteance supplies based on your hospital records. If you would have any special instructions or requests please contact us on 01223 274614 or CUH.AudiologyRepairs@NHS.Net

  • Patient details

  • Please fill in as much information as possible. This helps us process your request in a timely manner.

  • Date of birth*
     - -
  • Is this request for a paediatric patient?*
  •  -
  • Our Privacy Notice explains what information we collect about you, how we store this information, how long we retain it and who we may share your information with. Read privacy notice

  • Should be Empty: