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SDSU Speech-Language Clinic, San Diego State University

in the SDSU School of Speech, Language, and Hearing Sciences

skip navigation SDSU School of Speech, Language, and Hearing Sciences

Forms For New Clients

Application Instructions

  • Detailed Application Instructions – Child (pdf)
  • Detailed Application Instructions – Adult (pdf)

Application Forms

The following forms may be printed and returned by mail, or printed/scanned and then returned by email to speech-languageclinic@sdsu.edu.

  • Initial Application Form – Child (pdf)
  • Initial Application Form – Adult (pdf)
  • Aplicación inicial para niños (pdf)
  • Information Release Authorization Form (pdf)
  • Medical History Form (pdf)
  • School History Form (pdf – for child applicants)

Mailing Address

If submitting materials by mail, use the mailing address below (which differs from our building’s physical address):

SDSU Speech-Language Clinic
5500 Campanile Drive
San Diego, CA 92182-1518

 

 

 

 


Non-Discrimination Policy

The SDSU Speech-Language Clinic prohibits discrimination based on age, citizenship, disability, ethnicity, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, and veteran status. Scheduling of clients/or appointments for service at our clinic is based on student training needs, space availability and supervisor recommendations.

Privacy Practices

All contacts with our programs are held in strict confidence, except where disclosure is required by law. Reports and other information regarding clients will not be released to any individuals or outside agencies without written consent to do so.

 

 

 

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SUPPORT CLINIC CLIENTS & STUDENTS
We have moved from a fee-based to a *donation-based system!

SLHS Building of SDSU
SDSU Speech-Language Clinic
5245 Campanile Drive
San Diego, CA 92182-1518
map & directions

Clinic Director
Carrie Goodwiler
Carrie Goodwiler

Hours of Operation
M-F, 9:00 am to 5:00 pm

ph: (619) 594-7747
tty: (619) 594-1472
fax: (619) 594-7790

speech-languageclinic@sdsu.edu

  • Non-Discrimination Policy    |    Privacy Practices



*donation not required to receive services



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