For your convenience, all necessary client forms are available below. Please download and complete the following forms prior to your first visit:
- Therapy Policies
- Case History Form – New patient intake questionnaire
- Privacy/HIPAA Statement (read only) – Your patient privacy rights
- Privacy/HIPAA Signature Page – Acknowledgement that you have read the HIPAA statement
- Medical Records Release Form – Permission to release and share information
- Debit/Credit Card Agreement – Agreement to allow automatic payment
My son was diagnosed with a speech delay at 18 months, but despite the work we were doing with Early Intervention specialists, he had made little progress. We sought out private speech therapy just before he turned 3, and the results were incredible. Deb was able to draw out his expressive language and shape it so that he could be easily understood! His preschool teachers were so impressed at the quality of his speech! I am so grateful for the work she did with my son and would not hesitate to seek out her services again with my younger son if necessary.