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Client forms
Thank you for considering services from Alexander Speech and Hearing. We look forward to working with you:
Evaluation Documents
Below are the forms that must be completed prior to an evaluation being conducted.
HIPAA
The Notice of Privacy Practices states the responsibilities of Alexander Speech and Hearing, the uses and disclosures of protected health information as well as the patient's rights to privacy. The Acknowledgement of Receiving the HIPAA Form is a form for the client to sign that acknowledges that they have seen the HIPAA notice and understand its contents.
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