NEW PATIENT FORMS: Please fill out these forms prior to our first visit or evaluation and bring them with you to the appointment.
1. Statement of Financial Responsibility
2. Patient History
3. Patient Information
4. Policies and Procedures
1. Statement of Financial Responsibility
2. Patient History
3. Patient Information
4. Policies and Procedures
| statement_of_financial_responsibility.doc |
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| i._patient_information.doc |
| policies.docx |
| hippa.pdf |
| attendance_policy.doc |
| i._hipaa_privacy_notice.doc |
| iv._accounting_of_disclosures_of_protected_health_informatio.doc |
| iii._physician_referral_for_speech-language_pathology.doc |
| ii._hipaa_privacy_notice_acknowledgement.doc |
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