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INTAKE information

Client forms & Medical history​​​

The following forms must be completed before our first

speech therapy session:​​

Complete and return:

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Patient Intake Form

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Credit Card Authorization Form

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Teletherapy Consent Form

Please send the following documentation via email, or you may bring a copy with you to our first meeting:

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  • Recent Evaluations completed by other relevant health professionals (including Speech - Language Pathologists) 

  • Individualized Education Plan (IEP)

  • ENT Evaluation

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