New Client Forms

See the below forms as a new client. Click the images to download. Then email the completed forms to us at speechpathandpastures@gmail.com.

At our farm, we prioritize safety and fun for everyone who visits! To keep our activities enjoyable and protect both our guests and our animals, we kindly ask all visitors to sign a liability waiver. This quick form helps us ensure that everyone is aware of the wonderful farm experience ahead while acknowledging the inherent risks involved. Thank you for your understanding, and we can’t wait to see you at our farm!

Waiver FormWaiver Form

The client history and intake form serves as a valuable tool in understanding each individual's unique journey and the primary speech challenges they face. By gathering essential background information, we ensure that our approach is tailored and effective, fostering a supportive environment for speech improvement.

Client Intake FormClient Intake Form
Recording Authorization FormRecording Authorization Form

By allowing us to record the speech therapy sessions, we can better assess and tailor our approaches, ultimately benefiting your progress. Thank you for your cooperation!

Release of Health InformationRelease of Health Information

Our HIPAA form is necessary for the release of your health information.