PLEASE NOTE THAT OUR POLICIES AND PROCEDURES WERE REVISED APRIL, 2014 AND A NOTICE OF PRIVACY PRACTICES WAS ADDED DECEMBER, 2014. YOU MAY REQUEST A COPY OF EITHER DOCUMENT FREE OF CHARGE AT ANY TIME.​

Speech-Language Evaluation Forms:​

These forms must be printed, filled out completely, and brought to the first appointment.  Only page 5 of the Policies and Procedures form needs to be printed and returned.  Please read all forms carefully and contact us at 440-471-7190 if you have any questions.

To fill these forms out with Adobe Acrobat, please make sure to save the file to your computer first before inputting your information.

Social Skills Group Forms:

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. Print and fill out each form completely. For each group, the following forms are required:

*Print and return page 5 of the Policies and Procedures form
*Emergency Medical Form
*Social Skills Questionnaire

To fill these forms out with Adobe Acrobat, please make sure to save the file to your computer first before inputting your information.

After printing and completing the required forms, you may scan and return via email to krigo@lakeshorespeech.com or fax to 480-287-8108. You may also return via mail to:​

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

Additional Forms:

To fill these forms out with Adobe Acrobat, please make sure to save the file to your computer first before inputting your information.