Hearing Aid Financial Assistance Click here for more info

Sioux Falls

Noon Sertoma

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Hearing Aids & Application

Hearing Aid Info

Hearing Aid Donations

Hearing accounts for the majority of an individual's communication and functionality with the world today. Hearing loss can be very detrimental to those experiencing it. As we age, hearing diminishes and makes it harder to communicate effectively. As hearing aids cost on average $6000, some individuals do not have the ability to purchase these to improve their hearing.

If you have unused hearing aids, please consider donating them to the Sertoma Club to have them given to someone in need. Please email or call us, 605-789-2082 for more info.

Financial Assistance

Fill out the following fields to apply for financial assistance from the Sioux Falls Noon Sertoma Club.

Contact Us

First Name

Last Name

Date of Birth

Home Address

Address 2

City

State

ZIP Code

Phone

Marital Status

Single

Married

Widowed

Do you have health insurance?

Yes

If Yes, what type?

Medicaid

Medicare

Private Insurance

Other

Have you received services from the Sioux Falls Noon Sertoma Club before?

Yes

Do you have dependents?

Yes

If Yes, how many?

Have you had an evaluation by a health professional for the services your requesting?

Yes

If Yes, please provide name and address of professional. Payments are made to the service provider.

Please provide details of what service is needed and what is the amount ($) of assistance you are requesting:

Monthly Household Income (Gross Family Income including Social Security, Disability, Retirement/Pension, Unemployment, Federal or Public Assistance, and Child Support/Alimony benefits)

By submitting, I attest that the information on this application is true and complete to the best of my knowledge. I understand that I may not qualify or receive assistance.

Yes