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UCLA Audiology and Speech Pathology

UCLA Audiology and Speech Pathology

UCLA Audiology and Speech Pathology
  • Audiology Services
    • About Us
    • Our Team
    • Audiological Evaluations
    • Hearing Aids
    • Cochlear Implants
    • Schedule an Appointment
    • Preparing for your Appointment
  • Speech Pathology Services
    • Pre-Operative Laryngectomy Patients
    • Tracheosophageal Patients
    • Preparing for your Appointment
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UCLA Audiology and Speech Pathology

Speech Pathology Services

Speech Pathology Services

Speech Pathology Services

  • Pre-Operative Laryngectomy Patients
  • Tracheosophageal Patients
  • Preparing for your Appointment
  • Pre-Operative Laryngectomy Patients
  • Tracheosophageal Patients
  • Preparing for your Appointment
  1. Home
  2. Speech Pathology Services
  3. Preparing for your Appointment

Preparing for your Appointment

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  • Please check-in 15 minutes prior to your appointment time.
  • Please bring in your insurance card and photo identification.
  • Please complete the appropriate questionnaire and bring it to your appointment.
    • Child Communication Questionnaire 
      Ages 17 months to 15 years 
      • In English- Pediatric_Questionnaire.pdf
      • In Spanish- Pediatric_Questionnaire_Spanish.pdf
      • In Farsi- Pediactric_Questionnaire_Farsi.pdf
      • In Korean-Pediatric_Questionnaire_Korean.pdf
    • Voice Evaluation 
      • Voice Evaluation_Questionnaire.pdf
    • Gender Congruent Voice Evaluation
      • Gender Congruent Voice_Questionnaire.pdf
    • Supragastric Belching Evaluation  
      • Supragastric Belching_Questionnaire.pdf
    • Swallow and Speech Preservation 
      • Swallow and Speech Preservation_Questionnaire.pdf
    • Adult Neurological 
      • Adult Neurological_Questionnaire.pdf

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