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503-974-6774
CLINIC INTAKE FORMS
Ashley Johnson
2023-04-07T01:37:54+00:00
Below are the forms that I use within my practice.
Please fill out the five forms before your first visit.
Click to review my Notice of Privacy (HIPAA) form.
CLINIC INTAKE FORMS
Intake Form
Case History Questionnaire
Consent To Release Medical Information
Billing Policy
Informed Consent for Speech Therapy
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