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Forms should take 10 minutes to complete. If you'd prefer a paper version, one can be mailed to you upon request. Please note, the information you provide here is confidential. Your responses will not be shared with anyone. As always, please be mindful that all internet-based services carry an inherent risk of compromise.

To expedite the intake process for an initial evaluation, please download and complete the following forms. Email them to Chiquita@theeabcsofspeech.com and our Office Manager will contact you within 48 hours.

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