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SUSAN H. GORBACHEV, M.A., CCC/SLP LANGUAGE SPEECH PATHOLOGIST 6745 SW HAMPTON ST., TIGARD, OR. 97223503.638.5201 SPEECH HEARING VISION SCREENING SIGN UP FORM Dear Parent, Our school is providing speech,

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What is 5036385201 speech -hearing- vision?

5036385201 speech -hearing- vision is a form used to report information related to speech, hearing, and vision services provided.

Who is required to file 5036385201 speech -hearing- vision?

Providers of speech, hearing, and vision services are required to file 5036385201 speech -hearing- vision.

How to fill out 5036385201 speech -hearing- vision?

5036385201 speech -hearing- vision can be filled out online or submitted by mail following the instructions provided on the form.

What is the purpose of 5036385201 speech -hearing- vision?

The purpose of 5036385201 speech -hearing- vision is to track and report information on speech, hearing, and vision services for regulatory and data collection purposes.

What information must be reported on 5036385201 speech -hearing- vision?

Information such as the type of services provided, the number of clients served, and any outcomes or results must be reported on 5036385201 speech -hearing- vision.

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