PENNSYLVANIA SPEECH-LANGUAGE-HEARING ASSOCIATION
ADVOCACY AND ISSUES SURVEY

The following survey once submitted will be emailed directly to Marjorie DeBlander, Vice President of Government Affairs.

Name:

Discipline:  
Employer:
Phone Number:  
e-mail:

Please check the topics which are of interest /concern to you.
continuing education requirements for (specify:)
scope of practice issues (specify:)
payment for speech/language/hearing services: Medical Assistance
payment for speech/language/hearing services: Medicare
payment for speech/language/hearing services: other ()
universal newborn hearing screening
use of paraprofessionals
other

Please indicate the ways in which you can help:
in-person visit with my state representative/senator (indicate who:)
correspondence with my state representative/senator (indicate who: )
phone call to my state representative/senator (indicate who: )
contact with other elected officials (indicate who: )
mobilize my clients/parents
other

What can we do to assist you in your advocacy efforts?