Directions to the M.D. Steer Speech-Language and Hearing Clinics
Located in Lyles-Porter Hall on the Purdue University Campus
715 Clinic Dr.
West Lafayette, IN 47907
765-494-3789
Please call our office if you need further assistance.
From Northern Indiana |
From Southern Indiana |
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Patient Forms
General
Informed Consent and Release Form
Consent to Electronic Communication
Demographic Survey & Emergency Contact Information
Audiology Forms
Adult Audiologic Case History Form
Pediatric Audiologic Case History Form
Infant Audiologic Case History Form
Steer Clinic Authorization Form
Steer Clinic Authorization Form Page 2 - Audiology Only
Speech-Language Forms
Child Speech-Language Case History
Steer Clinic Authorization Form
Steer Clinic Authorization Form Page 2 - Speech-Language Only