[ SLH Clinic ]

Request for Application

Fill out an online request or download a copy.

In order to begin the application process for Elmhurst College Speech-Language-Hearing Clinic services, please fill out our Request for Application. You can click here to fill out the form online, or you can download a copy by clicking here.

Please be advised that the online form is not secure, and while we do not ask for any financial information, any data that you send may be intercepted in transit.

Requests for applications may be faxed to (630) 617-6461, or mailed to:

Elmhurst College Speech-Language-Hearing Clinic
190 Prospect Avenue
Elmhurst, IL 60126-3296