Your Visit

Forms for your visit

• Case History Forms
  • Adult Case History
  • Pediatric Case History
  • Adult Auditory Processing (APD) case history
  • Child Auditory Processing (APD) Case History
• HIPAA Forms
  • Consent for treatment
• Insurance Forms
  • Insurance information
• Clinic Brochure
• Other Forms
  • Balance Form

 

Directions to Center for Hearing & Balance

1. From I-80, take exit 236 to route 487 south (Lightstreet Rd).
2. Drive 2 miles, then turn left at the traffic light to enter the Bloomsburg University campus on Swisher Circle.
3. Drive through two stop signs, and turn left into the second parking lot.
4. Park in one of the spots reserved for the Speech & Hearing Clinic .
5. The side of Centennial Hall is directly in front of you.
6. Enter Centennial Hall through the main entrance (around the right corner).
7. Go to your left down the hall. The elevator is on the left. Go to the third floor.
8. When you get off the elevator, turn to your right. You will see a sign for the reception area.
9. Check in at the reception desk. Clinic staff will give you a parking permit for your vehicle.

Click here for a printable version

We accept most insurances and major credit cards .