Forms

Location

Help Me Speak is located in Marriottsville, MD which is in western Howard County.  We are conveniently located just off I-70.  We are 3 minutes west of Turf Valley Conference Center and approximately 10-12 minutes from the Mall in Columbia.

Directions to Help Me Speak

Please download the case history & mail or fax it to Help Me Speak 1 week prior to your evaluation:   Case History                 Fax: 410-442-9783

 

Please bring these forms to your evaluation: New Client Policies

Includes: A Welcome letter, a list of foods to bring, Client registration, Evaluation Cancellation Policy & Form, Evaluation Agreement, Therapy Agreement, Session Cancellation and Damage form, Illness Policy, Therapy Change, Consent to Treat, Returned check policy, Video/photo release, Release of records….and more

 

For your information:

Insurance Information                            Funding Sources

 

If your child is in a group session, please bring this form to the consult/ 1st session: Group Therapy Policy

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