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Application and Intake Packet Adult Speech/Language Services WELCOME to the University of Washington Speech and Hearing Clinic. The mission of our clinic is to be a center of excellence in education,

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Start by reading through the application and intake packet instructions.

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Fill out the basic information section with your name, address, phone number, and emergency contact.

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Provide detailed information about your medical history, including any current medications or allergies.

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Complete the financial information section, if applicable, including insurance details or payment options.

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Sign and date the completed application and intake packet before submitting it to the designated recipient.

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What is application and intake packet?

Application and intake packet is a set of forms and documents that need to be filled out and submitted in order to apply for a program or service.

Who is required to file application and intake packet?

Individuals who are interested in applying for the program or service are required to file the application and intake packet.

How to fill out application and intake packet?

To fill out the application and intake packet, applicants need to provide accurate and complete information as requested in the forms and documents.

What is the purpose of application and intake packet?

The purpose of the application and intake packet is to gather necessary information from applicants in order to determine their eligibility for the program or service.

What information must be reported on application and intake packet?

The application and intake packet typically require information such as personal details, contact information, income verification, and any other relevant details depending on the program or service.

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