Forms

The forms below must 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.

Mail: UNCG Speech and Hearing Center Attn: Olga
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, please complete the following forms:

Patients to be seen at the Tinnitus and Sound Sensitivity Clinic should also complete the following forms:

Patients to be seen for misophonia should 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: