Patient Form

To ensure your visit to Goshen Speech & Hearing Center is smooth and efficient, please complete the necessary forms prior to your appointment. You can download the appropriate documents, fill them out at your convenience, and bring them with you on the day of your visit.

Cancellation Policy

Review our policy regarding appointment changes and cancellations.

Adult Case History Form

For adult patients receiving speech, hearing, or myofunctional services.

Child Case History Form

For parents/guardians of pediatric patients receiving evaluations or therapy.

Oral Myology Case History Form

For patients receiving orofacial myofunctional therapy.