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The following forms can be:
Submitted online or
Printed from a PDF file (Adobe Reader required). Please fax the PDF form to Nancy Foreman at 713-218-7593 or email to info@houstonspeech.com.
Completing online forms on a computerPlease click on the link of your choice.
Consent to Treat/Release Information
Informed Consent for Teletherapy
Teletherapy Credit Card Authorization Form