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Client Enrollment Information

children and faculty

Whether you’re a new client or returning, we’re glad you’ve chosen our team to support you.

Enrollment & Re‑Enrollment

» Phone: Call 316-978-3289 to discuss your needs.
» Online: Submit a Speech-Language-Hearing Clinic Request Information Form

» Client forms: At this time, client forms for the Speech- Language-Hearing (SLH) Clinic are available by request.

To request access to the appropriate forms, please contact the SLH Clinic directly. Our staff will be happy to assist you.

These forms include:

  • Release of Information to WSU
  • Speech Client Forms
    • Adult Speech Case History
    • Child Speech Case History
  • Hearing Client Forms
    • Adult Audiology Case History
    • Pediatric Audiology Case History

Contact Us:

Phone: 316-978-3289
Email: slhclinic@wichita.edu

Notice of Privacy Practices for HIPAA Covered Entities 

Fees and Payments

» Contact our Billing Coordinator at 316-978-3166 or slhclinic@wichita.edu.

Please contact our office to discuss your needs. Our front office staff can schedule appointments for hearing services. For speech and language services, you will receive an information packet with forms to complete and return before scheduling. These forms help determine your payment level for Clinic services.

Prior to your appointment, it is your responsibility to confirm whether therapy services will be covered by your insurance company. Payment is due at the time of service. We appreciate your cooperation.

We look forward to serving you!

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