Patient Registration Form
If you are scheduled for speech therapy with us, please fill out the consent form and appropriate patient history form below at least 24 hours before your first appointment
If you are a self-pay patient or you have an insurance plan we do not accept that does not cover out-of-network providers, please fill out the terms of payment form below. If you have questions regarding your insurance visit our Payment & Insurance section or call us at (202) 417-6576
Terms of Payment
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