header1

Ludden Speech Language Clinic

Client Application

Welcome to the Ludden Speech and Language Clinic. Thank you for inquiring about our services. In order to submit an application, download the following items and mail them to:

Saint Xavier University
Ludden Speech and Language Clinic
3700 W. 103rd Street
Chicago, IL 60655

Please mail the following forms:

  1. A case history form that must be filled out completely. Be sure to include a description of speech and language difficulties.
  2. A diagnostic request form so that an evaluation may be arranged at a mutually agreeable time.
  3. A signed Ludden Speech and Language Clinic policies form.
  4. A $100 deposit to secure an appointment.

Once the Clinic receives your written information you will be contacted to arrange a time for the evaluation. If you have any questions or concerns, please feel free to contact the Clinic at 773-298-3571.

We look forward to serving you and your family.

Pamela Klick, M.A., CCC-SLP
Director, Ludden Speech and Language Clinic
Phone: 773-298-3564
Email: klick@sxu.edu