Child Feeding and Swallowing Evaluation Forms

Child/Adolescent Client (0-17) Feeding and Swallowing Forms

(All forms are required 48 hours prior to appointment)

Consent for Release of Confidential Information

Feeding and Swallowing Evaluation Expectations

Client Health Questionnaire

Legal Guardian 2

Feeding and Swallowing Intake Form

Self-Pay Client Forms

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

Good Faith Estimate