MEDICAL SPEECH AND LANGUAGE PATHOLOGY - SWALLOW/DYSPHAGIA SPECIALISTS

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.

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STEP 1 - Click on and full out the New Client Form. Read and fill out the form, then click submit.

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STEP 2 - Click on and fill out the HIPAA Consent Form. Read the information, sign the form, and click submit.

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STEP 3 - Click on and fill out the Consent for Teletherapy Form. Read the information, sign the form, and click submit.

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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.