Diagnostic Evaluations

Diagnostic evaluations are conducted on a weekly basis during the fall and spring semesters. The purpose of the evaluation is to:

  • determine the problem
  • assess communicative competence in all parameters
  • determine prognosis
  • determine recommendations

Every individual who desires services from our facility must be evaluated first. The process is simple.

  • Call Mrs. Shannon Kolls, Clinic Manager, at 254-710-2568 to schedule an appointment.
  • Print and complete the consent and case history forms listed below. If unable to print, please let Mrs. Kolls know.

 

Speech-Language Case History Form - Adult

Speech Language Case History Form - Pediatric

Speech Language Re-Evaluation Case History Form -Pediatric

Supplemental Adult Case History Form – Aphasia

Provider - Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement Form

HIPAA Consent – Voluntary Communication

Telehealth Services Consent – Addendum

Child Release Permission Form

Adult Release Permission Form

Attendance Policy Signature Required

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail the forms to:
Mrs. Shannon Kolls
Baylor University Speech, Language, and Hearing Clinic
One Bear Place, # 97332
Waco, Texas 76798-7332
OR
Bring them with you to your appointment