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    Harley Ries, Minnesota State Mankato student“Minnesota State Mankato supplies its students with countless valuable opportunities—whether it be starting a business with your Integrated Business Experience classmates in a low-risk environment, leading 30-40 new students as a Community Advisor during their transition to college, or joining a club or organization that presents critical values, beliefs, and support.”

    Harley Ries, Current Student
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  1. College of Allied Health and Nursing
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Department of Speech, Hearing & Rehabilitation Services

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Forms

If you are pursuing services from the Center for Communication Sciences & Disorders, please complete these two forms.

  1. Enrollment Form – This gives us the necessary information to proceed with enrolling you in Clinical Services.
  2. Sliding Fee/Scholarship Information – Complete this form if you'd like to be considered for reduced clinical fees or scholarships.

Release Forms

  • Release of Information Form
  • Image Release and Waiver Form
  • Center Research Consent: Adult Form
  • Center Research Consent: Child Form

Additional Forms

  • Aphasia Support Group Enrollment:
    • Aphasia Group 1, Wednesdays 10:00-11:30
    • Aphasia Group 2,  Mondays 1:00-2:30 pm
  • Social Skills Group Enrollment:
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  • Notice of Privacy Practices of Protected Health Information & Patient Rights

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Mankato, MN 56001
1-800-722-0544

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