Client Intake Form - Speech Therapy
Parent Signature Forms
Consent for Release of Medical Information
We may use the exchange of information form if we are needing to collaborate with other service providers regarding your child's care. If you already know of a provider who would like a copy of your child's information, please feel free to it fill out for that provider. Your child's health information is protected and will not be shared without your consent.
16703 SE McGillivray Blvd
Vancouver, WA 98683
Phone: (360) 989-7347