San Jose State University : Communicative Disorders and Sciences

Navigation

Main Content

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 [pdf]

Child application [pdf]

Child application (Spanish) [pdf]

Fee Schedule and Absence Policy [pdf]

Related Information