Baltimore County Public Library Hearing Screenings Sign-up: July-August 2026

Baltimore County Public Library Hearing Screening Sign-Up: July-August, 2026

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
If someone other than the legal guardian will be bringing the child to their screening, please provide their name.

First NameLast Name
Please select a library location/screening date to schedule your child's hearing screening
Please select time for screening: Reisterstown Library
Please select time for screening: Essex Library
Please select time for screening: Lansdowne Library
Please select time for screening: Perry Hall Library
Please select time for screening: Randallstown Library
Please select time for screening: Arbutus Library
Please select time for screening: Sollers Point Library
Please select time for screening: Rosedale Library
Please select time for screening: Towson Library
Please select time for screening: Cockeysville Library
Should be Empty:

Baltimore County Public Library Hearing Screening Sign-Up: July-August, 2026

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

Parent/Legal Guardian Contact Information