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 attending an 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

All patients should complete the following:

Patients to be seen for tinnitus should also complete the following:

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

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

New Speech and Language Client Forms

All patients should complete the following:

Patients should also complete the following as appropriate: