Begin your funding application
Ready to start an application for funding? To begin we need to take some details of the individual acting as the key contact for the application. Once this has been submitted you will be taken to a page where you can download the necessary forms in PDF format, you will also receive an email with links to the forms as well as further instruction and advice.
How to fund your Smartbox device in Oregon
Find which funding streams you are eligible for.
If you are unsure at which is best for you, please get in touch and we can help find the best method of funding your device.
Begin your application. Complete the form on this page and we will get you the correct funding documents.
We will be with you every step of the way. Start by downloading the funding packet forms in PDF. You can then start completing the necessary information.
Meet with your Speech and Language Pathologist (SLP), who will determine which Smartbox device best meets your needs. Your SLP will then complete the evaluation report.
Forward a copy of your evaluation report to your physician. Your physician will need to complete a prescription and in some cases provide evidence of a face to face visit. Your prescription may be accompanied by further guidance and instructions.
Request a quote
Quickly put together what you need and send it over to us.