Audiology Physician Referral

CHS accepts Medicaid patients with Audiology Orders for Evaluations and who have received Medical Clearance. Physicians must be IMPACT compliant. Audiology Orders for Evaluations can be signed by a licensed physician, a physician assistant, or a nurse practitioner. Medical Clearance Forms must be signed by a licensed physician.

Link to CHS’s Audiology Order for Evaluation

Link to CHS’s Medical Clearance Form

Does Your Hearing Aid Need Repairs or Batteries?

We can help! Give us a call at (773) 248-9121 (Voice) or (773) 904-0154 Videophone. We also have Walk-In Drop-Off Services.