20055 SW Pacific Hwy. Suite 106, Sherwood, Oregon 97140, United States

(503) 610-6145

(503) 610-6145

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  • About
    • Meet the Team
    • FAQ
  • Services
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    • Contact
    • Referral & Intake Forms
  • More
    • Home
    • About
      • Meet the Team
      • FAQ
    • Services
    • Patient Portal
    • Contact
      • Contact
      • Referral & Intake Forms
  • Home
  • About
    • Meet the Team
    • FAQ
  • Services
  • Patient Portal
  • Contact
    • Contact
    • Referral & Intake Forms
The ABClinic

Referral Forms

Please download, fill out, and print the necessary referral form here. You may fax the completed form or fax your own referral form to our office at (971) 979-1097. If you have any questions, please feel free to contact us at 503-610-6145. 

Speech Therapy Referral Form (pdf)

Download

Orofacial Myology Referral Form (pdf)

Download

Intake Forms

Files coming soon.

The ABClinic - Next Steps

1. Please Complete the appropriate Referral Form and FAX to (971) 979-1097.

2. Our clinic will verify insurance benefits/coverage.

3. We will contact the patient/parent/caregiver to discuss benefits (in and out of network process) and assist in scheduling an evaluation.

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