Breena
Hayman M.S. CCC-SLP-COM®

Speech-Language Pathologist
Myofunctional Therapist 

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  • Services

  • Patient Paperwork

  • Occupational Therapy

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    Patient Paperwork

    If you are a new patient, please click on, download, and print the PDFs below and bring them with you to your first appointment. Thank you!

    Orofacial Myology Case History-Adult
    Orofacial Myology Case History
    Speech HX
    Acknowledgment of Risk
    Contact Form
    HIPAA Notice of Privacy Practices
    Payment & Cancellation Policies
    Speech Fee Schedule
    Credit Card Authorization Form
    HIPAA Notice, Authorization & Release of PHI

    543 Encinitas Blvd, 114

     Encinitas, CA 92024

    Call Us:

    858.414.4603

    Email Us:

    breena.hayman@yahoo.com

    © 2015-2018 Breena Hayman. All Rights Reserved.