New Patients Intake Forms

Please fill out the intake form(s) that apply to your future appointment. By selecting the appropriate link or image below you will be directed to a secure, HIPAA compliant webpage to enter your information.

Hearing/Audiology

Adult Hearing Intake Form

Pediatric Hearing Intake Form

Tinnitus (Ringing) Intake Forms

Speech-Language

Pediatric Speech-Language Intake Form

Adult Speech-Language Intake Form

Telehealth Intake Form

Jacksonville Speech & Hearing Center

4.4

Based on 112 reviews

review us on

Shama Kern

20:00 06 Nov 22

Wonderful staff, my son has progressed so much.

Maria Draggoo

15:33 27 Sep 22

Great facility. Staff was super to work with. Gave me many... options on hearing aidsread more

Chris Thompson

07:45 20 Sep 22

I been going to there since I was 8 yrs old and they never... treat me bad at all . I love them and they are very helpful for my hearing aid assistance.read more

Cara Turney

16:43 27 Jul 22

I CANNOT say ENOUGH about Melissa and the journey that she... has taken the care and time to go with my son Chase on...it is AMAZING!!! The progress he has made with his therapy since the beginning has been OVERWHELMING!!! WE LOVE Melissa and JAX Speech from the bottom of our hearts!! 🙌😍read more

Cheryl Vanessa Branch

21:55 13 Jul 22

My experience was positive. My hearing new hearing aids was... not working and I went for technical support. I was in and out. I am enjoying my new hearing aids.The place is clean and friendly staff tk take care your needs.read more

samuel miller

23:41 05 May 22

Hello everyonePlease listen to your doctorWhen they sayGet... this checked out.i listened To mineDr. Mattson Check my hearingShe said that I neededMRI so she would be able to see my problemWhen it came back she saw an aneurysm on my brain And said I should have it checked outI did and thanks to her my life was saved Please remember to follow doctor's advice it May save your life As it did mine My name is Nancy Hagan Jacksonville Floridaread more

Andrea Ezell

14:45 26 Mar 22

I do not recommend this place. Not a great fit for... personnel serving in the military.read more

The wild ones

10:41 10 Aug 21

Had an appointment and still had to wait an hour!! The... people were very nice thoughread more

Diane Roz

02:01 19 Jul 21

Was helpful in adjusting my "ears" 🥴🙃

Joy Torregano

11:51 02 Jul 21

I have two grandchildren that go here 7 and 9 and they love... it always ready to go and the staff that I've met are wonderful.read more

Ashley Y

02:13 27 Apr 21

My daughter has childhood Apraxia and jacksonville speech... and hearing has been absolutely wonderful through this whole journey, they always answer the phone and are very informative with any questions we've ever had everyone there has always been so kind to us! Mrs.Lynda is my daughter's speech teacher and she has helped my daughter improve so much! She's a wonderful teacher and person! My daughter gets so excited for their sessions Every week! If you're looking for help with Speach and hearing this is the place !read more

Dore Windham

05:01 03 Mar 21

The people at Jax Speech and hearing were extremely polite... and helpful. Dr Mattson was helpful and explained everything she was going to do and offered info on what had occurred. I have to thank my family doctor for referring me.read more

Katherine Lamar

03:22 24 Sep 20

They practiced good social distancing, they had great... customer's service, and the doctor gave great service.read more

Sandy Wachenheim

19:58 03 Aug 20

They friendly and helpful and the wait is not that long but... with this heat it would be nice to put out a benches or chairs in the shades for people to keep cool while they wait if they don't have ac in their cars but I do like the place a lot .read more

kinsasha wilson

23:38 01 Aug 20

Check-in was efficient and fast. Exam was painless and... educational. The Dr. she was great!read more

Katherine Grooms

01:52 09 Jul 20

I'm just not happy with the recent service they have/have... not offered my special needs daughterr. Got a new pair of hearing aids for her in February, cost 6000.00. After four attempts they finally sent them back as defective. She has loaner hearing aides for two months now. They called last week said to come pick hers up. After several calls to make an appointment, leaving message after message, I finally get someone to answer the phone. She had me on hold for twenty minutes, then tells me they do not have any hearing aids for her. But you called me and said they were in. Girl says she will figure out what's going on and call me back. That was 7 days ago, still have not heard from them. SMHread more

Chris K

14:28 26 Jan 20

I had a great experience here. The Doctor was well versed... and attentive to my malady.read more

August Pinky

15:04 13 Jan 20

My grandson goes to see his speech therapist every Friday... morning an she is great with him. He is talking more now than ever...read more

Kathy Starling

16:14 16 Dec 19

Miss dottie and raymond are amazing my daughter loves it... thereread more

Kelsey Durham

21:19 10 Dec 19

This place is extremely unprofessional. First of all the... man at the front desk is incredibly sassy and rude and was loudly arguing with patients on the phone in front of everyone in the waiting room and then commenting on it after hanging up. I took my 18 month old son here on a recommendation from our pediatrician that we see a speech therapist and when the man at the front desk heard my son say “hi” to someone in the waiting room he commented to everyone and said “you’re already light years ahead of your peers why are you here?” That was none of his business to state out loud especially without knowing anything about our situation or what we were there for. Eventually we got called back to do the hearing test and no one introduced themselves at all. I didn’t realize I was even talking to the doctor until someone else came in and called her by name. After the hearing test no one explained the results at all. I then met with the therapist who was nicer but still no introduction and no explanation on what we should expect since it was our first time there. She just sat and watched him play and interact which is fine if that’s how they do things, but a heads up would have been nice so I wasn’t sitting there waiting for the appointment to start thinking she wasn’t doing her job.read more

Fay Moreland

00:23 28 Nov 19

This wonderful place have been taking care of my daughter... Ashley, since she was 6 months old, now 36!She was fitted today for beautiful new powerful hearing aids....Dr. Mattson did an Awesome job!!read more

Adelene Guzzo

22:39 03 Oct 19

Receptionist is kind and yet vivacious....patience is his... virtueread more

Danielle Ellyson

19:26 01 Sep 19

Mrs. Sharon was the most amazing therapist.

Mean Kern

21:36 13 Aug 19

Overpriced hearing devices. Another company fleecing the... insurance. 1500 dollar hearing aids for 5 grand... and the things don’t even help.read more

Amy Thomas

13:04 30 Jul 19

Real Pleasant and friendly

Sabrina Wilkinson

17:20 17 Jul 19

This place is very unprofessional I showed up for an hour... early thinking that my baby's appointment was here for one I'm in this waiting room sitting down the staff e walked past me no one even asked me who am I waiting for what time is my appointment nothing a young lady just showed up and somebody greeted her at the door to tell her to come in and there's nobody in the room but me and my baby I'm very disappointed because staff is in here sitting not one staff member even ask me a ? if my appointment is at 2 somebody could have still come and greeted and ask a I know your appointment is for 2 we can still see you because no one is hereread more

Timothy Arsenault

15:45 09 Jul 19

This places is where people go to get their hearing... checked. For hearing aidsread more

Deborah Hill

23:50 05 Apr 19

Dr. Fenja Mattson is wonderful. She asked questions and... listened. I did not feel rushed. She took time to explain to me what is going on and how she could help. My only regret is not seeing her sooner.read more

Michael Pugh

15:40 10 Dec 18

Very disappointed. I checked with our insurance and this... facility is in our network, so decided to schedule an appointment for my child to have a speech evaluation. Spoke to staff and provided insurance info, scheduled for 8am on 12/10/18. Received a confirmation call on 12/7/18 to be at the facility at 8am and earlier to complete paperwork and bring audiologist report. My wife and I took the day off of work, took our child out of school, and showed up at 7:40am to an empty receptionist desk. We eventually spoke to 3 different people. They check the schedule and state we are scheduled for 9:30am, not 8am. The speech therapist was argumentative in that the person scheduled us knew she was busy and had regular clients, so there was nothing she could do but for us to wait. The front office manager, who never introduced herself or told us what her exact title was, stated there was another speech therapist supposed to be there but we were notified of the change in time, but this was not true. We have a voicemail proving this. She said we could wait (with a 2.5 year old, no thank you) or come back in the afternoon which is another hardship and our child tests better in the morning. She was never considerate and seemed miffed that we were making a big deal of their lack of understanding of what the term "appointment" really means to the rest of society. We canceled and will not return. I plan to also contact our insurance company and make a complaint. No need for this agency to be providing services to their customers if this is the response from the staff.read more

Cindy Miller

22:55 09 Aug 18

Took my 90 year old mother here for hearing aids. Dr.... Cleveland was wonderful with her, very patient and kind. Mom loves the new hearing aids.read more

Law Office of John C. Thomas

19:20 15 Jan 18

Wonderful people and highly skilled speech therapists. My... daughter and son have been going there for over 2 years. Their speech journey has been remarkable.read more

Neetra McNeil

02:29 22 Oct 17

Very looooong wait time!! However the specialists are... patient and informative.read more

DANIELLE DURDEN

02:58 28 Jun 17

I have been taking my nephew here for around 6 weeks. They... are very caring and personal. He speech has improved more than I could of hoped for. They are wonderful!read more

Michaels Mom

12:43 25 May 17

Not good for kids. Lady rushed us in and pushed 2 buttons... then said my son's hearing is great ... Not sufficient test for kids.read more

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