AB Direct

Are you a Speech Language Pathologist who often refers patients for a modified barium swallow? Use this form to bridge the communication gap between you and the assessing SLP. By completing and sending this form with your patients, you will be providing quick and easy access to: -Patient's name -Patient's Date of birth -Reason for referral -Primary diagnosis -Other relevant diagnoses -Current diet consistency -Requested views (lateral and/or anterior/posterior) -Additional information (can be a