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HomeHospitals and ServicesSpeech Pathology Adult Inpatient and Outpatient Services - Hornsby Hospital

Speech Pathology Adult Inpatient and Outpatient Services - Hornsby Hospital

Outpatients Department

Level 1, Building 60

Hornsby Ku-ring-gai Hospital

Palmerston Rd



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Speech Pathology Adult Inpatient and Outpatient Services - Hornsby Hospital

Contact us

General Enquiries: 02 9485 6519

Referrals Phone: 02 9485 6519

Fax Number: 02 9485 6089


Opening hours

Monday - Friday: 08:00 - 16:00


 What we do

We provide an inpatient and outpatient service.

We provide the following service to adults who are experiencing communication and swallowing difficulties:

  •  Assessment / Consultation of communication and swallowing impairments
  •  Communication therapy
  •  Voice therapy
  •  Swallowing management and review
  •  Swallowing rehabilitation, including sEMG
  •  LSVT services for Parkinson's disease
  •  LSVT maintenance group
  •  Swallowing x-rays (Videofluoroscopic Swallow Study-VFSS, also known as Modified Barium Swallow)


We care for and treat people with a range of conditions, including:

  •  Stroke
  •  Parkinson's disease
  •  Other neurological conditions, such as Motor Neurone Disease, Primary Progressive Aphasia, Progressive Supranuclear Palsy, etc.
  •  Dementia
  •  Head injuries
  •  Head and neck surgery
  •  Voice difficulties
  •  Respiratory difficulties
  •  Or the patient may have no known problem, however still experiencing communication and/or swallowing difficulties


In addition to the services described above, the Speech Pathology Department provides a number of specialty services:


Videofluorscopic Swallow Study- VFSS (Also known as Modified Barium Swallow Examination)

A Videofluoroscopic Swallow study (VFSS) is a moving x-ray of swallowing. It allows visualisation of oral and pharyngeal structure, examines physiology with different food/fluid types, bolus sizes and effect of compensatory strategies. A bedside/clinical examination by a Speech Pathologist is usually conducted before a VFSS.



Fibreoptic Endoscopic Evaluation of Swallowing (FEES) is an objective swallow assessment that allows for direct visualisation of the structures and physiology of swallowing. This is performed at the patient's bedside or in the Speech Pathology clinic in Bernard Curran Rehabilitation Unit. This enables assessment of swallow function, compensatory swallow positions or techniques and can be used as biofeedback for the patient in swallow therapy.


Lee Silverman Voice Therapy

LSVT stands for the Lee Silverman Voice Technique. It is an extensively researched intensive voice treatment program developed to improve the speech and voice in patients with Parkinson's disease. The goal is to improve the intelligibility of a person's speech by increasing vocal loudness. There is also evidence to demonstrate improvements in vocal quality, speech articulation, facial expression, posture and swallowing. Individuals who participate in LSVT are first required to attend an ENT examination to make sure there are no contraindications to participating in therapy.

 What to bring

Medicare Card

Medical background or referral from GP if you have one (not a requirement)

Any previous Speech Pathology reports

 When to visit us

To access this service you may refer yourself or be referred by your family, health professional, GP or specialist.

You must have a communication or swallowing problem.

You must be over the age of 18 and living in the Hornsby Ku-Ring-Gai local government areas.

A referral is required for a swallowing x-ray (Videofluoroscopic Swallow Study). A GP or Specialist must complete a medical imaging request form, requesting a 'Modified Barium Swallow' and include any relevant medical history.

 How to visit us

Turn onto Palmerston Road from Edgeworth David Avenue. The Emergency entrance is just after the Burdett Street Intersection on the right. The Multi-storey carpark is further along after the Northcott Road junction.

Transdev bus 575 travels to Hornsby Ku-ring-gai Hospital from Hornsby and Turramurra railway stations. This picks up and sets down at the front of the Hospital on Palmerston Road. There are no buses to the Hospital from Waitara Station.

The closest railway stations are Hornsby and Waitara. Hornsby is accessible via both the main Northern Line and the North Shore Line. Waitara is on the North Shore Line. Transdev bus service #575 travels to Hornsby Ku-ring-gai Hospital from these stations.

From Hornsby Station – The distance to the Hospital is approximately 1.8km. If you wish to walk please note there are a number of hills. Exit the station on the George Street side via the pedestrian overpass.
From Waitara Station – The distance to the Hospital is approximately 1.5km. Exit the station on the Alexandria Avenue side. This walk is reasonably flat.

Hornsby Hospital has a multi-storey car park that offers 500 spaces and is located at Gate 2 (Palmerston Road). This carpark provides access for all areas across the campus.

Parking fees apply across the whole hospital in accordance with the NSW Health's hospital car parking fees policy and can be accessed here. Concessional rates apply to those who are eligible.

Disabled parking spaces are available in the multi-storey car park and also on Lowe and Palmerston Roads, though street parking availability is very limited. Your valid disabled parking permit must be displayed in your car at all times. Please do not park in restricted parking areas; you could be blocking access to emergency services.

 Referral information

  • Self referral
  • GP referral
  • Allied Health referral
  • Medical referral

Whilst a GP referral for general Speech Pathology services is not required, GP may still provide this or a letter outlining medical background. Any referral documentation can be sent to the Speech Pathology Department via email

 Other information

Is there a cost to patients to attend the clinic?


 Related links