Language and counseling services
Please complete the form to let us know how we can connect and best support you.
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Email *
Your name *
How old is your DHH child? *
What type of hearing loss does your child have? (i.e profound sensorineural hearing loss or conductive hearing loss) If you're unsure, just put "n/a" *
What type of devices does your child use, if any? *
What type of services are you seeking? *
What type of insurance do you have? *
Anything else you'd like us to know?
How did you hear about us? *
Thank you for your time
We will get back to you by the next business day.  If you have any questions, reach out to
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