Client Resources
Clinic Forms
- Case History-Adult
 - Case History-Child
 - Notice of Health Information Privacy Practices
 - Authorization to Use or Disclose Health Information
 - Authorization to Request Records
 
HIPPA
If you would like a paper copy of any of these forms please contact the clinic at 229-219-1301 or click here
福利小视频 Speech-Language and Hearing Clinic
- Health Sciences and Business Administration Building
 - 
Mailing Address
1500 N. Patterson St.
Valdosta, GA 31698 - Phone: 229.219.1301
 - Fax: 229.219.1302