ÐÇ¿ÕÎÞÏÞ´«Ã½

Skip to main content
Home
Contact Us vertical line image Find a Provider vertical line image
Speech - Language and Hearing
Return to ÐÇ¿ÕÎÞÏÞ´«Ã½ Homepage
  • Home
  • Meet Our Team
  • Reasons to Schedule an Appointment
  • Hearing Services
    • Pediatric Hearing Services
    • Cochlear Implants and Other Implantable Hearing Devices
    • Hearing Tests For Adults
    • Hearing and Balance Disturbances
    • Auditory Processing
    • Hearing Forms
  • Speech Services
    • Swallowing & Feeding
    • Speech & Language
    • Cleft Palate / Speech Resonance
    • Voice
    • Voice Restoration
    • Gender Affirming Voice Services
    • Speech Forms
  • Testimonials
  • Contact Us
United / Oxford Contract News: Important Plan Updates
New York State Health Advisory: Measles update

Hearing Services

  • Pediatric Hearing Services
  • Cochlear Implants and Other Implantable Hearing Devices
  • Hearing Tests For Adults
  • Hearing and Balance Disturbances
  • Auditory Processing
  • Hearing Forms
Stony Brook Speech Language and Hearing

To Schedule An Appointment
Call: (631) 444-4191
  1. Patient Care
  2. Speech-Language and Hearing Department
  3. Hearing Forms

Hearing Forms

Auditory Processing Evaluation Forms:

  • APD Letter to the Parents
  • APD Instructions
  • APD History Form - Children

Pediatric Hearing Services Forms:

  • Newborn Outpatient Screening Instructions
  • Pediatric Auditory Brainstem Response Instructions

Balance / Vestibular Disorders

  • ENG-VNG Instructions.pdf
  • VEMP-ECOG-Adult ABR Instructions

Cochlear Implant Program

  • Pediatric Cochlear Implant History Form — Ages 2 Months - 12 Years
  • Cochlear Implant History Form — Ages 13-18 Years
  • Adult Cochlear Implant Case History
  • Request for release of information
  • Request sent to hearing health professionals
Last Updated
07/07/2023
Stony Brook Square Rays
Give us a call
(631) 444-4191
Speech - Language and Hearing
33 Research Way, Ste 4
East Setauket, NY 11733
Hours:
Monday-Friday: 8:30AM-5:00PM

Legal/Disclaimer       Privacy Policy       Website Privacy Policy       Notice of Privacy Practices         Compliance         Site Feedback
© Copyright 2023 ÐÇ¿ÕÎÞÏÞ´«Ã½