Inclusion Criteria:  English or Spanish speaking Emergency severity index criterion of 3 (medium), 4, or 5 (low acuity) Hearing Handicap Inventory-Screen greater than or equal to 10 or positive answer to a single-item screening question Capacity to consent to participate in research  Exclusion Criteria:  Inability to consent to participate in research Emergency severity index criterion of 1-2 (high acuity) Hearing Handicap Inventory-Screen less than 10 and negative answer to single item screening question Inability to speak English or Spanish