Release of Information

This form is used for to authorize the release of information including, educational, assessment, and therapy documentation, as well as verbal communication regarding your child.  This information is to be used for diagnostic and treatment planning purposes only.   Please download and fill in the appropriate information.  You may fax or deliver the completed form to our office for processing. 

Authorization to Release Information 2016.pdf300.8 KB

Featured Blog Posts

No More, More
By Tracy Vail, MS, CCC-SLP, Autism Consultant and Heather Forbes, MA, CCC-SLP, BCBA There is currently a great deal of debate in the field of speech-language pathology about the kinds of words that should be taught first to nonverbal (or minimally verbal) individuals with communication impairments...


"Mommy, let's go find more Easter eggs!"..."I don't want to watch that video... it scares me"..."Daddy, fill the pool up so we can swim"..."I'm finished eating, may I pleased be excused?" Wow!!!! Words and sentences I only daydreamed of...

Tracey D.

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