Patient Forms

Welcome to our Practice!

New Patients Notification:

Please take a minute to fill out intake form before your first appointment. We will need to have all new patient registration forms completed before or on the day of your first appointment.

Current Patients Annual Forms to be Completed:

Please take a minute to fill out the 2025 patient forms.

• Click here to download the 2025 Policy Forms

  Forms can be emailed to: forms@iicaspeech.com

• Schedule Change Requests: If you need to make changes to your ongoing scheduled sessions.

  SCR forms can be emailed to: schedule@iicaspeech.com

These forms are pdf documents which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.