Use the form below to submit your concerns and feedback to the EHDI Program. Please provide enough information to allow EHDI to follow up on the issue.
- About Hospital or Audiology Center: Hospital/Audiology Center Name, location, date and time, names/descriptions of persons involved, and details of the event.
- About EHDI program: Describe what about the program you would like to see changed or resolved.
- About other: If you feel your concerns do not fall under any of the above categories, please be as specific as possible describing what you would like to tell the program.