Apply To Attend HCRI Stuttering Therapy

By submitting your application, you are letting us know you are ready to leave the challenges and frustrations of stuttering behind -- and experience the confidence and opportunities that come with lifelong fluency.

HCRI stuttering therapy is an in-person program that is held at our Roanoke, Virginia institute. Therapy includes 100 hours of treatment and evaluation over 12 days. Your experence here will likely be different than any other therapy you've tried. In fact, many clients say HCRI stuttering therapy is life changing.  

We will call you to schedule your therapy dates and look forward to welcoming you to our institute!

*required field

GENERAL INFORMATION:

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YOUR SPEECH:

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YOUR HEALTH:

                   

Have you received a diagnosis from a medical provider or do you receive professional services for any of the following? Please check all that apply and include any medication, along with your dosages.

Medically Diagnosed Conditions:
Check all that apply

List any medication and dosage you presently take.

FAMILY HISTORY OF STUTTERING*

List family members, living or deceased, who stutter or stuttered. State their relationship to you, which side of the family they represent, and their stuttering severity (mild, moderate or severe).