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Nashua Speech and Feeding Therapy MA LIC. 6298Sarah A.H. Belcher, M.S., CCCSLPAuthorization for Release and Request of Protected or Privileged Health InformationClient/Child Name: Date of Birth: Address:
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Who needs nashoba speech and feeding?
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The Nashoba Speech and Feeding form is needed by individuals who require speech therapy or feeding therapy services. This form helps collect necessary information about the individual's speech and feeding needs, enabling healthcare professionals to assess, diagnose, and provide appropriate treatment and support.
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