Baltimore County Public Library Hearing Screenings Sign-up: June-August 2025

Baltimore County Public Library Hearing Screening Sign-Up: June-August, 2025

Please fill out the information below to sign your child (ages 3-17 years) up for a free hearing screening per your consent. This is a pass/refer screening to identify if your child has normal hearing or identify if a diagnostic evaluation is needed. The screening will not identify the type or amount of hearing loss. Please call our office at 410-887-6443 should you have additional questions or need assistance.
Please note, if you are booking multiple children, you will have to book an appointment for each child.
Today's Date*

MonthDayYear
Name of Person Completing Form*

First NameLast Name
Relation to Child*
Parent/Legal Guardian Contact Information
Child's Name*

First NameLast Name
Child's Date-of-Birth*

MonthDayYear
Legal Guardian's Name *

First NameLast Name
Mobile Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Appointment Reminder*
Please select a library location/screening date to schedule your child's hearing screening*
Please select time for screening: Cockeysville Library
Please select time for screening: Rosedale Library
Please select time for screening: Essex Library
Please select time for screening: Arbutus Library
Please select time for screening: Randallstown Library
Please select time for screening: Perry Hall Library
Please select time for screening: Towson Library
Please select time for screening: Reisterstown Library
Please select time for screening: North Point Library
Please select time for screening: Essex Library
Please select time for screening: Catonsville Library
Please select time for screening: Arbutus Library
Please select time for screening: Cockeysville Library
Please select time for screening: Parkville Library
Please select time for screening: North Point Library
Please select time for screening: White Marsh Library
Should be Empty:

Baltimore County Public Library Hearing Screening Sign-Up: June-August, 2025

Please note, if you are booking multiple children, you will have to book an appointment for each child.

Parent/Legal Guardian Contact Information