Hearing Aid Batteries Order Form

Please use this form to request a reorder of your hearing aid batteries. Upon receipt of your request, we will contact you to process your order.

**PLEASE NOTE: We are currently experiencing high demand so there may be a small delay in response.**

To successfully complete your order, you must be an existing Leightons Opticians and Hearing Care customer. Any queries, call us on 0800 40 20 20.

Your email address is collected in order to provide a confirmation email, and is not passed to any third party. Please see our privacy notice for full details.
Email address *
First Name *
Your answer
Last Name *
Your answer
Postcode (Home Address) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Contact Phone number *
Your answer
Your local branch (this is so we can identify your patient record, your order will be posted to your home address) *
What battery size do you require? *
Please add any other useful information to support this request. **PLEASE NOTE: If you are a key worker, please state this here.**
Your answer
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