Intensive Aphasia Therapy Program Application

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Thank you for your interest in the Shirley Ryan AbilityLab’s Intensive Aphasia Program. This page contains information about the program application. If you have questions about the program, costs or eligibility, please visit the program's main page at the link below.

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Please contact us before you fill out the application if you have questions about:

• The application
• Whether the program is appropriate for you or your loved one

Contact information:

• Dr. Edie Babbitt, Program Manager.  Email: ebabbitt@sralab.org   Phone: 312-238-1273     
• Dr. Leora Cherney, Program Director.  Email:  Lcherney@sralab.org

Interested participants must complete the three-part application package:

1. Intensive Aphasia Therapy Program Application
2. Physician Medical Information Form
3. Communication Report (From your current or most recent speech-language pathologist)

Applications can be submitted using the PDF files below or filling out the online application.