Schedule an Appointment

Please fill out the form below to request an appointment at Chicago Hearing Society's Audiology Clinic. Once you have completed the form and clicked the Send button, a member of the Audiology Clinic staff will contact you within 24 business hours to schedule and confirm your appointment. Please note that items marked with an (*) are required and must be filled out. You may also schedule an appointment by calling 773.248.9121.

Fields marked with a * must be filled out.