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Cristin Ryan
{FORMS}
These forms are necessary for your medical records. You may download the forms, print them, and bring them to me or you may use the fillable PDF form, save them to your device, and email them to me as attachments.
Mandatory Forms
This is a standard HIPPA required form allowing me access to your child's pertinent medical records.
This is a standard HIPPA required form, which provides me with information about your child's medical history.
This is a standard release to use photos and/or video of your child for educational and/or promotional purposes.
Every client must fill out and sign the therapy agreement before treatment may begin.
Optional Forms
This form asks specific questions to ascertain triggers, scenarios, and specifics about your child's stutter.
{UNLOCK YOUR COMMUNICATION POTENTIAL}
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