Payment by webmin | May 19, 2020 Patient Name* First Last Invoice Number (if applicable) Date of Service MM slash DD slash YYYY ServiceAPD EvaluationAPD Therapy SessionAPD ConsultationOtherOther* Email* Phone*Amount* Services APD Evaluations Who is a Candidate? What to Expect Skills Assessed APD Therapy / Intervention Services ARIA (Auditory Rehabilitation for Interaural Asymmetry) Dichotic Listening Therapy Fast ForWord Deficit Specific Auditory Processing Therapy Safe and Sound Protocol (SSP) Remote Microphone Systems / FM Systems Low-Gain Hearing Aids for Auditory Processing Disorder (APD) APD Consultations Telepractice Services for Auditory Processing Disorder