Credit Card Authorization Form

Cancellation Policy

​Child History Form

Fluency History Form

HIPPA  Form

Jennifer Berkey, M.S., CCC 

Speech-Language Pathologist

Consent Form

​​Billing Policy

​​SpeechSpring.com 

Billing Policy

Direct Email: 

Forms & Policies

​​​​​​​

 JenniferSLP@aol.com

​Supplemental 

Form