Policies & Forms

Business Office Forms

• Clarity Privacy Policy
• Clarity Authorization to Obtain
• Clarity Authorization to Release
• Clarity Physicians Referral Form

Audiology Forms

• Pediatric Audiology New Patient Packet
• Pediatric ABR New Patient Packet
• Pediatric Central Auditory Processing New Patient Packet
• Adult Audiology New Patient Packet

Psychology & Counseling Forms

• Pediatric Psychology New Patient Packet
• Adult Psychology New Patient Packet
• Pediatric Counseling New Patient Packet
• Adult Counseling New Patient Packet

Speech & Language Forms

• Pediatric Speech New Patient Packet
• Adult Speech New Patient Packet