Family Mentoring Request

Are you a family of a newly diagnosed deaf or hard-of-hearing child?

Are you unsure of what to do next?

Do you need someone to talk to and listen to your concerns?

Please reach out to us and we would be happy to meet with you. We offer a safe space to talk, listen and be with you in your time of need.

Fill out the short form below and we will be in touch with you!

Name, First and Last

Name of DHH child

Age of DHH child

Do you have any other children?

Where are you located?

What type of mentoring are you interested in? (i.e., Zoom meeting, phone call, email, something else?)

What type of Assisted Hearing Device does your child use? (Hearing Aids, Cochlear Implants, Baha, None, other)

How did you hear about us? (Pediatrician, Audiologist, family friend, etc.)

Please tell us a bit about why you are contacting us and how we can support you?

Our Privacy Policy applies.

Note: Please fill out the fields marked with an asterisk.