Policies & Forms

Business Office Forms

• Clarity Cares Application
• Clarity Cares Application- Spanish
• Clarity Privacy Policy
• Authorization to Obtain & Release
• Physician’s referral

Hearing & Audiology Forms

• Audiology Adult New Patient Packet
• CAP Adult New Patient Packet
• Pediatric Audiology New Patient Packet
• Pediatric CAP New Patient Packet
• Pediatric New Patient Packet- Spanish

Psychology & Learning Forms

• Psychology & Learning Child Intake Packet
• Psychology & Learning Adult Intake Packet

Speech & Language Forms

• Speech Adult New Patient Packet
• Pediatric Speech New Patient Packet
• Pediatric New Patient Packet- Spanish