Forms

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.

• Contract for Services

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

• Client Case History

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

• HIPAA (updated July 1, 2014)