Request Services

If you are interested in any of our speech and language services, please download/print and complete our Form to Request SPLH Clinic Services (pdf).  If you have any questions about the form or our services, please contact Sarah Domingos at sdomingos@ku.edu or 785-864-4690. 

After you have completed the Intake Form, please encrypt and send the completed form to Sarah Domingos:

Schiefelbusch Speech-Language-Hearing Clinic
2101 Haworth Hall
1200 Sunnyside Avenue
Lawrence, KS 66045

OR

785-864-5094 (fax)