Preschool children volunteers are needed test research; Select Research tab below.
In preparation for your child's speech therapy evaluation your speech therapist requests that you download all the forms below and return them along with a copy of your child's latest school ARD meeting record and school speech therapy goals and progress report via fax to (480) 287-8474. Do not email your completed forms as email is not HIPPA compliant.
Speech Inspiration Pediatric Questionnaire Form (pdf)Download
Speech Inspiration Authorization for Speech Language Treatment (pdf)Download
Speech Inspiration Registration Form (pdf)Download
Speech Inspiration HIPPA Privacy Notice (pdf)Download
Notice of Privacy Practices Acknowledgment Form (pdf)Download
Speech Inspiration Referral Form (pdf)Download
Welcome to Speech Inspiration Pediatric Policy 2018 (pdf)Download
Speech Inspiration Authorization to Obtain Information (pdf)Download
Speech Inspiration Release of Information (pdf)Download