Request Appointment

Request Appointment with Audiologist 

If you need to request an appointment with a BHASED audiologist please fill out the Google form linked below. If you have any questions please contact tmelton@bhased.org.

https://forms.gle/sDR4tPy7uqabrzpN9


Please download and fill out the fillable pdf form. This form allows BHASED to share your student's audiological information with their school district. 

*you must download the pdf first, to be able to fill it out*

Please email completed form to tmelton@bhased.org


drive.google.com/file/d/1dWVHgszx87FkumVY1QZReLRnDr6wG2Ju/view?usp=share_link