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Telehealth Therapy for Adults and Children with Hearing Loss in North Carolina
Telehealth Therapy for Adults and Children with Hearing Loss in North Carolina
HOME
GETTING STARTED
FORMS & INFORMATION
Forms
Health Insurance
Resources
Research
SERVICES
ABOUT
CONTACT
(803) 318-1105
Telehealth Therapy for Adults and Children with Hearing Loss in North Carolina
Telehealth Therapy for Adults and Children with Hearing Loss in North Carolina
HOME
GETTING STARTED
FORMS & INFORMATION
Forms
Health Insurance
Resources
Research
SERVICES
ABOUT
CONTACT
(803) 318-1105
HOME
GETTING STARTED
Folder: FORMS & INFORMATION
Back
Forms
Health Insurance
Resources
Research
SERVICES
ABOUT
CONTACT
(803) 318-1105

Forms

 

Adult Form Packet

 
Adult Form Packet
 

Child Form Packet

 
Child Form Packet
 

Individual Forms

 
Policies
Release of Medical Information
Consent for Therapy
Acknowledgement of HIPAA
Adult Intake
Child Intake
HIPAA Privacy Agreement
 

Auditory Verbal Based Therapy and Aural Rehabilitation for Adults and Children with a Hearing Loss

Providing Speech-Language Pathology & Aural Rehab Telehealth Services in
North Carolina and Georgia

Please note we are not currently accepting new patients.