The following forms must be printed, filled out completely, and brought to the initial evaluation:

• Case History
• Insurance form
• Page 7 of Policy and Procedures form
• Consent for Therapy form
• Consent for Teletherapy form

Please read all forms carefully and contact us at 440-471-7190 if you have any questions

Please read the SS Group Registration Instructions first and contact us in the office at 440-471-7190 to make sure that the class you wish to register for is still open. These forms must be printed , filled out completely and returned to Lakeshore Speech Therapy PRIOR to the initial session of the social skills class:

• Page 7 of the Policies and Procedures form
• Emergency Medical Form
• Social Skills Questionnaire

You may scan and return the COMPLETED forms:

• • • • • • • • • via email to krigo@lakeshorespeech.com or
                • via fax to 480-287-8108 or
                • via mail to:​

Lakeshore Speech Therapy
815 Crocker Rd., Suite #3
Westlake, OH 44145