Pediatric Forms and Helpful Links for Parents

Speech Superstars – HIPAA – Acknowledgment

Speech Superstars – Informed Consent

Speech Superstars – Attendance Policy

Speech Superstars – Policies and Procedures

Speech Superstars – Authorization for Release and Disclosure of Protected Health Information

Speech Superstars – Consent for Teletherapy

Speech Superstars – Good Faith Estimate

Speech Superstars – Child Case History

Speech Superstars – Financial Policy

Speech Superstars – Pre-Language Case History

Speech Superstars – HIPAA Your Privacy Rights

Speech Superstars – Fluency Child Case History

Speech Superstars – Consent to Screen

Speech Superstars – Feeding History

Food Intake Form and 3-Day Food Log

Parent Links