Client Resources
Clinic Forms
- Case History-Adult
- Case History-Child
- Notice of Health Information Privacy Practices
- Authorization to Use or Disclose Health Information
- Authorization to Request Records
HIPPA
If you would like a paper copy of any of these forms please contact the clinic at 229-219-1301 or click here
·¬ÇÑÖ±²¥app Speech-Language and Hearing Clinic
- Health Sciences and Business Administration Building
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Mailing Address
1500 N. Patterson St.
Valdosta, GA 31698 - Phone: 229.219.1301
- Fax: 229.219.1302