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NYC Speech-Language Pathologist
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NYC Speech-Language Pathologist
Home
Who We Help
Infants
Kids
Adults
Services
Orofacial Myofunctional Therapy
Speech & Language Therapy
Oral Motor & Feeding Therapy
Lactation Counseling
About
Reviews
Patient Forms
Contact
Home
Folder: Who We Help
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Infants
Kids
Adults
Folder: Services
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Orofacial Myofunctional Therapy
Speech & Language Therapy
Oral Motor & Feeding Therapy
Lactation Counseling
About
Reviews
Patient Forms
Contact

Patient Forms

Please download, read and complete these forms prior to your first appointment or when your information changes.

  1. Cancellation Policy

  2. Evaluation Contract

  3. Insurance Information

  4. Notice of Privacy Practices

  5. Office Policy

  6. Patient Authorization

  7. Photo/Video Consent

  8. Rights and Responsibilities

  9. Adults & Adolescent Case History

  10. Pediatric Case History

Download one file with all the forms here

Let’s get you the results you’re looking for.

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Who We Help
Infants
Kids
Adults

Services
Orofacial Myofunctional Therapy
Speech & Language Therapy
Oral Motor & Feeding Therapy
Lactation Counseling

Home
About
Reviews
Patient Forms
Contact

 

Manhattan Office

521 5th Ave #1720
New York, NY 10175

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Westchester County Office

475 White Plains Rd # 21
Eastchester, NY 10709

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Call Us (914) 236-3365
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