• A survey of 24 agencies that provide services for patients with hearing problems was carried out in New York City for the purpose of determining what personnel, facilities, and programs would be considered adequate for complete, integrated service. Some of these agencies were rather limited as to the facilities available or specialized as to the type of patient served. For maximum usefulness, a rehabilitation center for the hard of hearing needs both medical supervision supplied by otologists and pediatricians and paramedical skills supplied by such personnel as audiologists, speech therapists, nurses, social workers, and psychologists. The physical facilities should include sound-treated areas for diagnosis and therapy, reception and observation rooms, ear mold and electronics laboratories, and other areas adding up to about 2,500 sq. ft. (230 sq. m.) of floor space. There are advantages in locating the hearing center in a large general hospital connected with a medical school. A hearing program is costly; the general community must be prepared to assist in financing it.