Congratulations! You are PRE-QUALIFIED* for Lighthouse hearing services.

Please download, print, complete, and return the Lighthouse adult hearing application (located here) along with all required supporting materials (pay stubs, etc.). Our intake department will review your submission upon receipt and issue a decision in writing within 2-4 weeks.

Download the Application

* Your pre-qualification status is based solely upon the answers you provided in our preliminary hearing services questionnaire and should not be construed as a guarantee of approval. All applicants, regardless of pre-qualification, are required to provide proof of residence, income, and identification. If you cannot provide this proof, your application will not be approved. If you have any questions, please feel free to contact The Lighthouse at (404) 325-3630 and speak with a vision staff member.