Patient Forms
Get Ready for Your First Visit at Autumn Oak
At Autumn Oak Speech, Voice and Hearing, our patient forms collect the medical, developmental, and lifestyle details that guide a personalized evaluation — whether you are joining our speech pathology clinic at 820 S Friendswood Dr or our audiology clinic at 699 S Friendswood Dr. Completing the right packet before you arrive means more of your appointment is spent on you, not paperwork. Each intake packet also includes our office and financial policies for you to review and sign at home.
Request an Appointment
Download Your New Patient Forms
Choose the intake packet that matches your visit — hearing, vestibular, or speech, adult or pediatric. Office and financial policies are included inside each packet. Complete it at home, or arrive 15 minutes early to finish it in the lobby.
Adult Hearing Intake
New patient paperwork for adults visiting our audiology clinic for a hearing evaluation, vestibular testing, or hearing aid consultation.
Download PDFPediatric Hearing Intake
New patient paperwork for children visiting our audiology clinic — including developmental and hearing history details for your child.
Download PDFAdult Speech Intake
New patient paperwork for adults starting speech, voice, language, or cognitive therapy at our speech pathology clinic.
Download PDFPediatric Speech Intake
New patient paperwork for children starting speech or language therapy — covering developmental milestones and current concerns.
Download PDFAdult Vestibular Intake
New patient paperwork for adults scheduled for vestibular testing — dizziness, balance concerns, vertigo, or VNG/ENG evaluations.
Download PDFHow to Use Your Patient Forms
A few simple steps will help you arrive prepared so your appointment stays focused on your hearing or speech goals — not paperwork at the front desk.
Pick Your Packet
Choose the packet that matches your visit — adult or pediatric, hearing, vestibular, or speech therapy.
Complete at Home
Fill out the forms on your device or print them at home. Take your time and skip sections that do not apply.
Arrive 15 Min Early
Bring your completed packet to your appointment, or arrive 15 minutes early to finish the forms in our lobby.
Start Your Visit
Your audiologist or speech-language pathologist reviews your forms with you, then your evaluation begins.
Hear More, Speak Clearly — Book Your Friendswood Visit
Trusted by Friendswood families since 2011 — dual-certified speech and hearing care at two convenient locations.
Book an AppointmentServing Friendswood & the Greater South Houston Area
Our Locations
Autumn Oak has two dedicated locations on South Friendswood Drive — our Speech Pathology office at 820 and our Audiology office at 699, both in Friendswood, TX.
- (346) 474-4626
- support@speechhearingtherapy.com
- Fax: (832) 569-4696
- Serving Friendswood since 2011
- Parking available at both locations
- Wheelchair accessible
“My son has been coming here for years and we love it. Everyone — from the front office to the therapists — is kind and helpful. His therapist's patience and skill have helped him reach so many goals, and they give parents guidance for home. Highly recommend for any child with a speech delay.”— Monica Gonzalez
Speech Pathology
Speech820 S Friendswood Dr, Suite 100
Friendswood, TX 77546
| Monday | 8:00 AM - 6:00 PM |
| Tuesday | 8:00 AM - 6:00 PM |
| Wednesday | 8:00 AM - 6:00 PM |
| Thursday | 8:00 AM - 6:00 PM |
| Friday | 8:00 AM - 6:00 PM |
| Saturday | Closed |
| Sunday | Closed |
Audiology
Hearing699 S Friendswood Dr, Ste 104
Friendswood, TX 77546
| Monday | 9:00 AM - 4:00 PM |
| Tuesday | 9:00 AM - 4:00 PM |
| Wednesday | 9:00 AM - 4:00 PM |
| Thursday | 9:00 AM - 4:00 PM |
| Friday | 9:00 AM - 4:00 PM |
| Saturday | Closed |
| Sunday | Closed |