Refer a User

Use the phone confidently and effectively — even with hearing loss — through federally funded caption calls at home or at work on an intuitive closed caption phone.

Refer a Service Member or Veteran for CaptionCall

If a Veteran or U.S. military member you work with needs call captioning because of their hearing loss, you can refer them for service and we’ll do the rest.

CaptionCall’s service is available only to persons who have a hearing loss and need telephone captioning to communicate effectively on the telephone. Use this form to refer a user.

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Step 1 of 3

User information

User name*

First Last

User email

User phone*

User address*

Street address City State / Province / Region ZIP / Postal code

User's primary language*

User's desired products*

Referred By

Referrer name*

First Last

Title

Email address

Business name (if applicable)

Phone number

Account number/promo code

Address*

Street address Address Line 2 City State / Province / Region ZIP / Postal code Country

Notes

This form is not required by the Federal Communications Commission or any other government entity

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utm_id

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utm_campaign

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utm_source

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utm_medium

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utm_content

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utm_term

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utm_affiliate

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utm_country-code

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referrer_url

Attestation*

By checking this box, you attest you have the explicit consent of the patient (referee) to share their protected health information with Sorenson. *

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SMS consent

Accept

By checking this box, you give Sorenson and its affiliates permission to send you texts at the phone number you provide above using automated means, which texts may contain marketing materials, product updates, new features, and special opportunities. You don’t have to consent to receive SMS messages to create a Sorenson account or use our services, and you can opt out at any time. You can unsubscribe by clicking here or following the instructions contained in our text messages. Data and messaging rates may apply. Find legal information regarding how Sorenson uses your data while on the website. View our Terms of Use, Privacy Policy, and other Legal information.

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+1 (833)-691-1600

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Refer a User

Refer a Service Member or Veteran for CaptionCall

User information

Additional Contact Information (optional)

Referred By