Home > Academics > Colleges and Schools > College of Arts and Sciences > Academic Departments > Communication Sciences and Disorders > Ludden Speech Language Clinic > Client Application
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:
- A case history form that must be filled out completely. Be sure to include a description
of speech and language difficulties.
- Adult Case History (PDF)
- Child Case History (DOC)
- A diagnostic request form so that an evaluation may be arranged at a mutually agreeable
time.
- Diagnostic Request Form (PDF)
- A signed Ludden Speech and Language Clinic policies form.
- 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





