Family enquiry

Auditory Verbal therapy is an early intervention approach that supports deaf children to learn to listen and speak. It supports deaf children, from birth to five years of age, learn how to make sense of the sound they receive through hearing technology—such as hearing aids, bone conduction aids or cochlear implants—and develop spoken language so they can learn to talk like their hearing friends.

Parent/ guardian information

Parent/ guardian first name

Parent/ guardian last name (required)

Contact number (required)

Email address (required)

House number/ name (required)

Postcode (required)

Child’s information

Child’s first name (required)

Child’s last name (required)

Child’s date of birth (required)

Hearing history

What is your child’s level of hearing loss? (required)

When was your child’s hearing loss first diagnosed? (required)

Did your child have a newborn hearing screening? (required)

YesNoI’m not sure

Which type of hearing technology does your child currently use? (required)

What is your relationship to child (required)

MotherFatherGrandparentOther

Please state if other

How did you hear about us (required)

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