Adult Feeding and Swallowing Evaluation Forms

Adult Client (18+) Feeding and Swallowing Forms

(All forms are required 48 hours prior to appointment)

Consent for Release of Confidential Information

Client Health Questionnaire

Credit Card on File

Feeding and Swallowing Intake Form

Feeding and Swallowing Evaluation Expectations

Self-Pay Client Forms

Self-pay clients will need to complete this form along with the standard intake forms listed above.

Good Faith Estimate