Print Email Share Tweet Pediatric History Form for Speech, Language and Hearing Evaluations Adult History Form for Hearing Evaluations Adult History Form for Speech-Language Evaluations Permission to Provide Clinical Services Form Authorization to Exchange Information Form Information Form for Patrons Receiving Services HIPAA Notice of Privacy PracticesFee Schedule for Center ServicesField Trip Permission FormInternational Student Schedule Form (for International Students Requesting ESL Services) Emergency Procedures for Center for Speech and Hearing News Calendar Current TodayPlease Enable JavaScript.