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Get Aphasia Institute Application - The Vegas Voice Institute

Otected by the HIPPA Act of 1996. Admission is contingent upon our receipt of your application. We will determine your candidacy of this program and then an invitation will be extended for you to join us here at The Aphasia Institute. Enrollment is provided on a first come first serve basis in response to the invitation. If you are extended an invitation to our program 50% of the cost of this program will reserve your spot. Name of Applicant: Street Address: City State Zip code Home ph# Cel.

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