Speech-Language and Hearing Clinic

The UNL Barkley Speech-Language and Hearing Clinic is located in the Barkley Memorial Center on the University of Nebraska-Lincoln's East Campus at 42nd and Holdrege Streets.

Audiology (hearing) patients, please fill out forms as directed before your visit. If you have questions, you may call
(402) 472-2071 or 2068.

Forms For Pediatric Audiology Patients

Patient Registration - Pediatric
Case History - Pediatric
Authorization for Release of Information
Evaluation and Treatment Consent Form

General Forms for all Patients and Clients
Fees and Billing Information
HIPAA Notice - Privacy Acknowledgement
HIPAA Notice
Map

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