Cochlear implant candidacy is based on each individual’s hearing ability and projected outcomes with a cochlear implant. Therefore, a comprehensive assessment is necessary. Boys Town audiologists have extensive experience and knowledge in evaluating children and adults for a cochlear implant. The candidacy evaluation may consist of some or all of the following appointments:
Learn more about
making the decision for children and proceeding with a cochlear implant.
Read more about considerations and factors that go into
making the decision for adults.
If you are interested in being evaluated for a cochlear implant, please fill out the forms below to begin the candidacy process.
Pediatric candidates should print and complete the following:
Adult candidates should print and complete the following:
Please mail or fax completed forms to:
Boys Town National Research Hospital
Lied Learning and Technology Center
425 North 30th Street
Omaha, NE 68131