Forms

Welcome, Contract for Services, HIPAA

Welcome


I am pleased to welcome you and to include you as a valued family in this practice.  This practice offers full-range Speech and Language Therapy Services for your child, including the assessment and treatment of your child’s specific communication disorder.

Client Intake


To properly assess your child, please fill out the form in its entirety.

HIPAA (updated 7.1.2014)


HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT