Department of Communication Sciences and Disorders

School of Health and Human Sciences

The forms below should be completed and returned to the UNCG Speech and Hearing Center prior to scheduling an appointment. Additional forms, obtained in person, may need to be filled out on the day of your appointment. For questions, call (336) 334-5939.

 UNCG Speech and Hearing Center 
300 Ferguson Building
524 Highland Ave.
Greensboro, NC 27402
or
Fax: (336) 334-4475

New Audiology (Hearing) Patient Forms

Prior to scheduling an appointment to see an audiologist, all patients should complete the following forms:

In addition, patients to be seen for tinnitus should complete the following forms:

Patients to be seen for sound sensitivity also should complete the following forms:

Patients to be seen for misophonia should also complete the following forms:

New Speech and Language Client Forms

Prior to scheduling an appointment to see a speech-language pathologist, please complete the following forms: