Siemens Digital Hearing Aid Original BTE 4 6 SP6 Channels. ATT: If you need a full set of English instruction manuals. He displayed hearing aid options P4/P6/SP6/P8/SP8 is means single hearing aid, not a pair. If you need a pair of hearing aids, please enter 2 when selecting the number. Please do not worry, our customer service team will solve your problem satisfactorily.You must provide to me either a signed statement from a physician or a signed waiver before I will deliver this item to you. This item is in the category "Health & Beauty\Medical & Mobility\Daily Living Aids\Hearing Assistance\Hearing Aids".amplifier-998" and is located in this country: US. This item can be shipped to United States, Canada.