Schedule an Appointment Now!


Monday through Thursday: 8:00am – 5:00pm
Friday: 8:00am – 3:00pm


Referral Information

1. Referral Form

2. Depending on your insurance, the Referral Form may be required prior to scheduling an appointment.


New Patient Forms - Audiology

Please also print, complete and bring the following forms to the Center for AUDIOLOGY upon your initial visit. Call (713) 337-9075 for any questions or to schedule an appointment or fax your paperwork to 713-400-9196.


New Patient Forms - Speech

To schedule a speech appointment, please contact our speech clinic coordinator at (713) 337-9079.

You will need the following documentation:

1)    New Patient Paperwork


2)     Your child’s health plan may require a referral for speech services from their Primary Care Provider

Our speech clinic will require all recent audiology reports. Please request records be sent to The Center for Hearing and Speech or contact our clinic coordinator for assistance and to complete the appropriate release of information authorization form.