(831) 645-7900
Forms
For your convenience and for easy reference, below are links to all of our new client forms to complete before your first appointment. We typically email these to you to fill out electronically or provide you with paper copies of the forms to complete in our office.
 |
Adult Patient History Form (English) 
This form helps us tailor therapy to your unique needs and understand your speech/language history. |
 |
Adult Patient History Form (Español)
Este formulario nos ayuda a adaptar la terapia a sus necesidades únicas y comprender su historial del habla / lenguaje. |
 |
Child Patient History Form (English and Español)
Parents, please fill this out on behalf of your child to help us tailor therapy to his/her unique history and needs. Padres, por favor llenen los formularios para ayudarnos a adaptar la terapia de su hijo a base de su historial y necesidades únicas. |
 |
HIPAA: Notice of Privacy Practice (Español) |
 |
Our Policies (English)
This form explains our policies for cancelled and missed appointments, cost of services, insurance, etc. |
 |
Our Policies (Español) |
 |
HIPAA: Notice of Privacy Practices
This notice outlines your privacy rights and includes guidelines on how your personal health information is shared. |
New Client Information  |
"Their staff is well trained, qualified, and devoted. They always greet us with a smile and know everyone by name. They support their staff and this helps to ensure continuity and consistency." Jennifer Zeidberg, M.D.