Contact Us
Department of
Communication Sciences & Disorders
Campus Box 4720
Normal, IL 61790

Phone: (309) 438-8643
Fax: (309) 438-5221
Office: Fairchild Hall Room 204

Eckelmann-Taylor
Speech and Hearing Clinic
Office: Rachel Cooper Room 211
Phone: (309) 438-8641

Email: Email CSD

Please contact the clinic office staff to determine the appropriate form to
print, complete and return to our office prior to your appointment.

Speech / Language

Adult Case History Forms

Download Neurological form (pdf)

Download Speech/Language form (pdf)

Download AAC form (pdf)

Download Accent Modification form (pdf)

Download Fluency form (pdf)

Download Voice form (pdf)

Child Case History Forms

Download Speech/Language form (pdf)

Download Pre-Language (0-3) form (pdf)

Download Feeding/Swallowing form (pdf)

Download AAC form (pdf)

Download Fluency form (pdf)

Please contact the clinic office staff to determine the appropriate form to print, complete and return to our office prior to your appointment.

Speech / Language

Adult Case History Forms

Child Case History Forms

Audiology

Assessment Forms

Please contact the clinic office staff to determine the appropriate form to
print, complete and return to our office prior to your appointment.