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Special Education & Communication Disorders

College of Education & Human Sciences

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.

Audiology Forms For Adults - Age 65 and over

Audiology Patient Registration - Adult 65+

Authorization for Release of Information
Adult Audiology Case History
Evaluation and Treatment Consent Form
Hearing Handicap Inventory

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

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