Forms

Please print and fill out the appropriate form for your visit with Horizons.

Adults and Kids Medical Forms Packet [ Click here to download ]

This document includes the following:

  • New Patient Information
  • Notice of Privacy Practices
  • HIPPA Signature for Disclosure of Records
  • List of Medications
  • Horizons Client Cancellations Agreement
  • New Patient Voice and Swallowing Questionnaire (for people having voice and/or swallowing problems)

The Vocal Advantage and/or Accent Reduction Forms Packet [ Click here to download ]

This document includes the following:

  • Vocal Speech Evaluation Form
  • Horizons Client Cancellations Agreement

Here are all the individual forms just in case you only need one of them:

 

 

 

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