Update October 1, 2021
The UW Speech and Hearing Clinic is open for in-person and teletherapy appointments.
- Our audiologists continue to provide essential hearing aid fitting and repair services. Please call 206-543-5440 to schedule a time for an appointment or for a no-contact curbside drop off your hearing aid. Except for specific scheduled appointment times, clinic staff are working from home and the Clinic is closed to the public and no walk in appointments are available.
- Online telepractice therapy and evaluation services are being offered to help troubleshoot problems you may be having with your hearing aid.
Speech and Language services
- In-person and online telepractice therapy and evaluation services are being offered at this time. Please complete the appropriate forms below if you would like to recieve speech and language services.
Thank you for your interest in our clinic's services. We welcome physician, community, and self-referrals, as well as referrals from current clients and their family members. If you know the specific services you, your family member, or your patient is seeking, please select the appropriate registration packet for the services below.
Each application packet provides 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. 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,
Julianne Siebens, Clinic Manager
The Application and Intake forms below may be filled out on your computer using Adobe Acrobat Reader (available for free from Adobe). The form can then be emailed to the clinic at firstname.lastname@example.org. We cannot guarantee that your email communication with us will be secure. If you do not want to use Adobe Reader and submit the application online, you can print the form and fax or mail it to the clinic.
Voice Evaluation Services (must also complete Adult or Pediatric Speech-Language Services application)
Release of Confidential Information (this form is included in the Pediatric and Adult Speech-Language Services applications above)