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Garden State Speech Therapy Pediatric and Adult Speech / Swallowing and Feeding Disorders 2083 Center Avenue, Suite 3 N. Fort Lee, NJ 07024 www.gardenstatespeech.com / 2012979167Consent and AcknowledgementName
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It is a form used to report speech therapy services provided by Garden State Speech Therapy.
Who is required to file www.gardenstatespeech.com/resources-2/garden-state-speech-therapy-form?
Speech therapists or providers who offer speech therapy services and are associated with Garden State Speech Therapy are required to file this form.
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The form must be filled out by providing details of the speech therapy services rendered, along with patient information and dates of service.
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The purpose of the form is to accurately report the speech therapy services provided by Garden State Speech Therapy.
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The form requires information on the speech therapy services rendered, patient details, and dates of service.
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