Request for Revalidated Service

Closes 21 May 2022

Opened 12 May 2021


This form is to completed if you wish to complete a request for a revalidated service for a client with the Australian Government Hearing Services Program. 

Please click the link below to begin your request.



This is a draft form for testing purposes only. The form is not to be distributed or used for any other purpose.


  • Seniors
  • Health professionals
  • Contracted Service Providers
  • Aged care service providers


  • Hearing