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MEDICAL SPEECH AND LANGUAGE PATHOLOGY - SWALLOW/DYSPHAGIA SPECIALISTS
NEW CLIENT FORMS
Please review and sign each form BEFORE you book your first appointment. We have made this convenient and quick with our online forms. Please follow the instructions below.
STEP 1 - Click on and full out the New Client Form. Read and fill out the form, then click submit.
STEP 2 - Click on and fill out the HIPAA Consent Form. Read the information, sign the form, and click submit.
STEP 3 - Click on and fill out the Consent for Teletherapy Form. Read the information, sign the form, and click submit.
FEES - Please click on and fill out the FEES Consent Form IF your doctor or SLP has referred you for a Flexible Endoscopic Evaluation of Swallow Exam.
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