4500 Hillcrest Rd,

Ste 140,

Frisco, TX 75035

 

Phone: (469) 331-9933
Fax: (469) 305-7388

Mon - Fri: 9am - 630pm

​​Saturday: 10am - 2pm

​Sunday: closed

© 2019 Summit Speech Therapy, PLLC

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PATIENT FORMS

All of our forms are specific to your needs. To know which forms suit your needs best, call us.

 

All forms are HIPAA compliant and sent/received securely and confidentially.

New Patient

Info

Patient History

Adult

Patient History

Child

Attendance

Policy

Treatment

Authorization

Authorization for release of information

Need something else?

Payment Policy

Physician Referral for Speech - Language Pathology

HIPAA Privacy Notice

HIPAA Privacy Notice

Acknowledgment

Welcome

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