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Department of Communication Sciences and Disorders University of Central Arkansas Stuttering Intake Form Child's Name Research #: Date: Yr mo gender: DOB: Yr mo bayonet in months: CA:Mos. Postponed:
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What is stuttering - uca?
Stuttering - uca is a form of communication disorder characterized by interruptions in the flow of speech.
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To fill out stuttering - uca, individuals must provide information about their personal experiences with stuttering.
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Information such as frequency of stuttering episodes, triggers, and any treatments or interventions used must be reported on stuttering - uca.
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