Thank you for your interest in UW Speech & Hearing Clinic!
The first step in scheduling with our clinic is to fill out an application for services. Please complete and return the appropriate registration packet below:
Voice Evaluation (must also complete an Adult or Pediatric Speech-Language Services Application above)
Release of Confidential Information (permission to share information with other providers)
Each application packet provides important information about our clinic services. Please fill out the forms as completely as possible in order to provide us with information that will assist us in determining how we may best serve your communication needs.
These forms may be filled out on your computer using Adobe Acrobat Reader (available for free from Adobe). They can be emailed to the clinic, however, we cannot guarantee that your email communication with us will be secure. If you prefer, you can print the form and fax or mail it to the clinic. Specific instructions for returning completed applications are included in each packet.
If you have questions about our forms or need more information, please call or email us at 206-543-5440 or email@example.com. We look forward to receiving your information and coordinating your care.