Speech, Language and Voice
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Review of Release of Information Policy Here
Add parents, doctors, behavioral therapists, speech therapists,etc. Please put name and contact information
I hereby consent for the release of information to and from the providers of Lingua- Speech, Swallow, and Voice Services LLC and its affiliates for
the coordination of services.
Specifically, I consent for the person(s) and/or entities listed above to consult with Speech,
Swallow, and Voice Services LLC, via all means of communication,
We take great pride in creating a space that is supportive for all ages. Whether you are mother breastfeeding or a college coach trying to habilitate your voice, our space welcomes you.
