photo: Boccardo gate at dusk

Clinic Applications

Please use the following forms to apply to the KACCD. The information page and the letter to prospective clients describe our services and fees. Print them out as needed. You will need an Adobe Reader to download the forms.

Adult application

Child application

Information for prospective clients

Letter for prospective clients

Clinic Applications
Speciality Clinics
Hearing Services
Speech-Language Services
Community Services
Donating to the Center
Contacting the Center
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Did You Know?

Communicative Disorders and Sciences

Connie L. Lurie

College of Education

San José State University

One Washington Square

San Jose, CA 95192-0079

Dept. Phone: 408.924.3688

Dept. Fax: 408.924.3641

Location: Sweeney Hall Rm 115

Email: michael.kimbarow@sjsu.edu