Even mild hearing loss can affect a child’s ability to speak and understand language, as well as impact behavioral development. Nemours' audiologists use state-of-the-art technology and innovative testing techniques to assess your child’s hearing sensitivity. We can evaluate and treat hearing at any age, beginning at birth.
Hearing loss in children occurs in an estimated three out of every 1,000 babies born in the United States each year. At Nemours, we are dedicated to finding the best solutions to address each child’s hearing impairment, and we’re committed to counseling and educating families to be advocates for their children in the community.
We have board certified audiologists who are licensed with specialized experience in pediatric audiology.
Our audiologists help diagnose and develop treatment plans for children with hearing disorders such as:
- hearing loss
- (central) auditory processing disorder (APD)
- auditory neuropathy spectrum disorder (ANSD)
- balance (vestibular) and dizziness disorders
At Nemours/Alfred I. duPont Hospital for Children and a number of Nemours Children’s Clinic locations in the Delaware Valley and North and Central Florida, we are also able to provide children with hearing impairment special services.
These services include:
- prescriptions for hearing aids and other assistive and/or amplification devices as well as instruction on the use, care and maintenance of these devices
- cochlear implant, programming and therapy
- counseling for families regarding adjustment to hearing aids and cochlear implants
- specialized programs for children diagnosed with central auditory processing disorder or auditory neuropathy spectrum disorder
- working with a child’s school and teacher to ensure proper classroom equipment and modifications are in place
We look forward to forming close relationships with our patients and monitoring their progress over time.
For Appointments: (407) 650-7715
Clinic Location: Second Floor
Hours: Monday–Friday, 8 a.m. to 5 p.m.
- Nicole Becker, AuD
- Teryl Camus, AuD
- Elyssa McRae, AuD
- John Ray, MS, MA, CCC-A
- Teresa Tracy, AuD
- Victoria Walkup-Pierce, AuD, PhD
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
Bring these forms for your first appointment:
New Patient & Patients (who have had recent testing or medication changes)
- preferred pharmacy name and phone number
- all prior audiology, otolaryngology and/or screening reports
- names of all medications
New Patient Forms
Returning Patient Forms
- Patient Presents Without Legal Guardian (PDF)
English | Spanish
Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
At Nemours Children’s Hospital in Orlando, our certified audiologists use state-of-the-art technology and advanced testing techniques to diagnose and treat children of all ages with hearing loss, auditory neuropathy spectrum disorder and auditory processing disorder — including infants. Working with your family and our world-class pediatric otolaryngologists (ear, nose and throat, or "ENT" doctors) the pediatric audiology experts at Nemours provide comprehensive care designed to meet your child’s individual needs.
Convenience is an important part of providing quality pediatric audiology care. To better serve children and families throughout Central Florida, many of our audiologists and pediatric specialists also see kids at Nemours Children’s Specialty Care locations in downtown Orlando, Lake Mary and Melbourne.
Pediatric Audiology and Evaluation for Central Florida Children
If your child has symptoms of hearing loss, especially as an infant or toddler, it can affect speech and learning development. Early identification and management is important. At Nemours, we use the latest equipment and innovative pediatric assessment techniques to evaluate your child’s condition.
If needed, the pediatric audiology team at Nemours Children’s Hospital has immediate access to Nemours specialists in more than 30 other fields of pediatric medicine, including:
- otolaryngologists (ear, nose and throat, or "ENT" specialists and surgeons)
- otologists (ear, nose, throat doctors who treat ear disorders)
- geneticists (specialists who perform genetic testing and counseling)
- neurologists (specialists in disorders of the brain and central nervous system)
- behavioral health experts (psychologists and psychiatrists)
- speech and language pathologists (specialists in pediatric communication problems)
- social workers (licensed and certified professionals who helps families cope and find services in the community)
- auditory neurophysiologists (specialists who study how the nerves work related to hearing)
- care coordinators (nurses who set up appointments and coordinate care and communication between providers and families)
- educators for the deaf and those with hearing loss
- linguistic researchers (specialists in language and speech sounds, formation and structure)
Pediatric Audiology and Hearing Services in Central Florida
You can count on the pediatric audiology care team at Nemours Children’s Hospital to provide expert diagnosis, treatment and long-term support for children with all types of hearing problems, from the most common to complex.
Hearing loss (or hearing impairment) is very common in children. The National Institutes of Health (NIH) estimates that 3 out of 1,000 children in the U.S. are born with some degree of hearing loss. Fortunately, hearing loss can be diagnosed easily with a screening. The earlier children with hearing loss get pediatric audiology care, the better the results.
Nemours Children’s Hospital has a specialized program for diagnosing and treating kids with ANSD (auditory neuropathy spectrum disorder). ANSD affects the nerves in the ear, making it difficult for children to understand speech, especially in noisy environments.
Poor nerve function can make it difficult for children to distinguish one sound from another and understand speech clearly. With auditory neuropathy testing, we can measure the function of the auditory (hearing) nerve.
Auditory processing is what the brain does with what the ears hear. Children with auditory processing disorder (APD), also known as central auditory processing disorder (or "CAPD"), can hear, but they have trouble understanding what they hear.
Kids with APD may have difficulty speaking and/or learning (not unlike children with hearing loss), and they may also appear inattentive, easily distracted, hypersensitive to loud sounds or have difficulty following spoken directions.
At Nemours, our audiologists perform a battery of tests to determine what happens to an auditory signal once it leaves the cochlea (the part of the ear that changes sound into nerve messages) and travels to the brain.
Our pediatric audiology team works with board-certified otolaryngologists (ear, nose and throat, or "ENT") specialists to evaluate children for cochlear implantation. Cochlear implants increase hearing perception by transmitting sound information past the damaged cochlea (which is responsible for changing sounds into nerve messages for the brain) directly to the nerve of hearing. These implants are recommended for children who have severe or complete hearing loss that cannot be improved by using hearing aids.
Pediatric Audiology and Hearing Tests and Diagnostics
The certified pediatric audiologists at Nemours conduct diagnostic tests tailored to your child’s age, stage of development and health. Testing begins with general hearing diagnostics in sound-proof booths and, depending on your child’s needs, may involve additional evaluation, including:
- behavioral audiometry testing (hearing tests based on your child’s age and functional level)
- tympanometry and middle ear muscle reflex (MEMR) testing (evaluates the eardrum and middle ear mobility to identify middle ear problems)
- otoacoustic emissions (OAE) testing (measures the function of the outer hair cells, or the “natural amplifiers” located in the inner ear)
- auditory brainstem response (ABR) testing (measures the function of the auditory, or “hearing” nerve by evaluating how well the signal from the inner ear travels to the brain)
Rehabilitation and Care at Nemours Children’s Hospital
If your child is diagnosed with hearing loss or hearing impairment, our audiologists provide hearing aid evaluations, hearing aid fittings, hearing aid repairs, earmolds and assistive listening devices. They also work closely with board-certified pediatric specialists to make recommendations that best meet your child’s needs.
Types of Treatment We Offer
Nemours pediatric audiologists are qualified and experienced to fit your child with a hearing aid. We work with children of all ages, including infants as young as three months old. Our program is designed to monitor the progress of each and every child with hearing loss to make sure they get maximum benefit from their hearing aid.
For some children with hearing loss or hearing impairment, background noises and distance can interfere with hearing and understanding. FM amplification systems can help children with hearing aids as well as those who don’t need them.
Children five years of age or older with certain types of hearing loss may benefit from an implantable hearing device, such as a bone-anchored hearing aid (BAHA) or a Sophono bone conduction hearing system. These devices can also help kids with single-sided deafness. Both devices can be worn in a softband if you don’t want your child to have an implant or if your child is under five years of age.
For many children diagnosed with hearing loss, speech and language therapy or auditory-verbal therapy is recommended to help them develop their hearing and speaking skills. Therapists at Nemours Children’s Hospital can help your child develop hearing as an active sense so that listening becomes automatic and a part of their daily routine.
Care and Support for the Entire Family
To make sure you and your family have all the support you need, Nemours Children’s Hospital provides a variety of helpful, special services. Our experienced staff is dedicated to providing you with the best care and support available throughout your child’s treatment journey.
To help make the experience as comfortable as possible, we also provide emotional and psychosocial support and many other services for your child and family, including:
- social work
- Child Life services
- mental health counseling
- patient and family education
- spiritual care
- support groups
Our specialty inpatient and outpatient care services are offered on the same floor of our hospital, a design (recommended by our Family Advisory Council) that fosters maximum collaboration among your child’s specialists, and, just as important, is convenient for your family.
What’s more, some of the very same pediatric specialists your child sees at Nemours Children’s Hospital also provide convenient care at our specialty locations in downtown Orlando, Lake Mary and Melborne.
No matter where your child receives care at Nemours, your medical team (including your primary care provider) can keep track of your child’s progress and access your child’s medical history, test results and visit notes anytime through our award-winning electronic health record system.
You can also view parts of your child's health records, communicate with your Nemours care team, make appointments, request prescription refills and more through our MyNemours online patient portal.
A Hospital Designed by Families, for Families
At Nemours Children’s Hospital, family-centered care is at the heart of everything we do. In fact, families helped shape the unique amenities and convenient services that make our hospital like no other in the region.
You’ll feel right at home in one of our private patient rooms designed with input from families who know what it’s like to have a child in the hospital.
Our large, comfortable, single-patient rooms have sleeping accommodations for two parents, a private bathroom, wireless Internet access, connections for DVD players and game systems, and two flat-screen TVs.
Other in-room features include:
- full floor-to-ceiling windows for natural light
- refrigerator for family meals and snacks
- wardrobe storage for personal items and a hotel-style safe
- GetWellNetwork interactive television (uniquely based on your child’s age, medical condition and more) and allows your child to watch TV, surf the Web, check e-mail, play music and games, and learn about your Nemours health care team.
Our “hospital within a garden” setting features many places for you and your family to go for fresh air and relaxation, including a one-acre interactive sensory discovery garden or one of our rooftop gardens on the second and fourth floors.
We have many more comforts and amenities such as:
- complimentary valet and parking
- kid-friendly commons areas for siblings
- café and coffee shop
- nondenominational chapel
- concierge services
If your child needs medical imaging, we offer some of the area’s most advanced pediatric radiology services here on campus at Nemours
Our unique services include:
- interventional radiology: Our team of experts uses image guidance to diagnose and treat diseases and tumors throughout the body. Certain conditions that previously required open surgery can now be treated by Nemours pediatric interventional radiologists. We are very fortunate to have the only dual-trained pediatric diagnostic and interventional radiologist in the state.
- neuroradiological or cardiovascular imaging, and fetal MRI (magnetic resonance imaging): Our subspecialty-trained pediatric radiologists see children with complex conditions who require this highly specialized imaging.
- Central Florida’s only 256-slice Brilliance iCT Scanner: We are one of only a handful of children’s hospitals in the country to have this latest generation CAT (or CT) scanner that scans faster than most machines and produces excellent images in a much shorter time with much less radiation exposure for the child.
Our team of board-certified pediatric radiologists and pediatric radiologic technologists are experts in the safe medical imaging of children of every age, even newborns.
We have also pledged our commitment to the “Image Gently” campaign of the Alliance for Radiation Safety in Pediatric Imaging, which is increasing awareness of the opportunities to promote radiation protection in the imaging of children.
At Nemours, we want to hear your concerns and share with you everything we can about your child's condition and treatment. If English is not your first language, we'll make sure you understand what to expect — in your language.