Forms

Please complete and return the following forms to A Step Above Speech-Language Pathology.  Forms must be completed prior to scheduling a client’s initial evaluation or therapy session.

Background-History-Form-Child (Required)

Background History Form – Adult (Required)

Consent for Services (Required)

Credit Card Authorization (Required)

Health Insurance Portability and Accountability Act (Required)

Release of Information Form (Recommended)

 

Speech Therapy in Reston VA

If you are interested in our speech and language services, please contact us for more information.  We cater to clients in Northern Virginia, specifically in Herndon, Falls Church, Arlington, Vienna, Mclean, Annandale, Fairfax and Washington, D.C.