Child Case History Form (Speech-Language Pathology) - Feb 2018

The form is used by parents or guardians of a child receiving clinic speech services. It collects important information about the child's medical history, speech development, and previous therapies or evaluations. By providing this information, the clinic's speech department can better understand the child's needs and provide appropriate treatment. The completed form should be submitted to the University of South Alabama clinic speech department.

Parents or guardians of a child receiving clinic speech services.

The completed Child Case History Form (Speech-Language Pathology) should be submitted to the clinic speech department at University of South Alabama.