Client Forms and Cost

Client Forms

Please complete the following forms and return to us at your earliest convenience.

In preparation for the examination, we would like you to provide us with important information. This information will assist the clinic staff in planning for and conducting a complete examination. Please choose from the list of underlined links below. 

Speech and Language Evaluation Hearing
 

Please bring these forms when you arrive for the appointment or preferably mail/ fax prior to your appointment.

St. John's University Speech & Hearing Center Mailing Address:

152-11 Union Turnpike
Flushing, NY 11367
Fax: 718-990-1917

 

St. John's University
Speech & Hearing Center
8000 Utopia Pkwy
Queens, NY 11439

 For a PDF document file list of general directions to our Speech and Hearing Center click here

For point by  point turn directions and public transportation information via our Google Maps place page  click here

Costs

As a teaching and educational facility and not-for-profit agency, fees to the patient are significantly lower that those charged by other agencies and private practitioners. There are set fees for evaluation and treatment which are reasonable. Individuals may inquire by telephone as to the fee schedule. There is a charge for an evaluation. The program session fee is based on individual treatment sessions conducted throughout the semester, which is usually 12 weeks in length, and runs parallel to the college schedule. The patient is billed for the semester at the initiation of the program and payment may then be made in three installments.

The Center does not accept direct assignment of fees from insurance companies; however, assistance is provided in filling out the necessary insurance forms so that the patient may apply for reimbursement directly. The Center does accept assignment of fees from Medicare only for audiologic evaluations for qualified individuals. Those individuals should inquire at the Center for further information.

Contact Information
St. John's University Speech and Hearing Center
Seton Complex
152-11 Union Turnpike
Flushing, NY 11367
(718) 990-6480