Jefferson Balance & Hearing Center

To Schedule an Appointment with a Jefferson Hospital Doctor, please choose one of the following two options:

• Call 1 (800) JEFF-NOW (1 (800) 533-3669), Thomas Jefferson University Hospital's Physician Referral Service
  
  ** Speech or hearing impaired callers can access JEFF NOW® by calling 1 (800) 654-5984
  ** International callers please dial 1 (215) 955-0818
• Fill out the Online Appointment Request Form.

Patients may need the forms below in preparation for your visit:

• Protected Information (PDF)
• Authorization to Release Medical Information (PDF)
• Medical History Questionnaire (PDF)
• JUP Patient Registration Form (PDF)
• JUP Signature-on-File Form (PDF)
• JUP Directory (PDF)