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Preschool speech language screening registration
Speech Language Associates is offering a speech and language screenings for preschool aged children. A speech therapist will be come onsite to your daycare, preschool or nursery school. We will share the results with parents and offer free consultations for any family interested in learning more about what we offer. Kindly fill out the information below so we can ensure we are addressing your concerns.
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* Indicates required question
Email
*
Your email
Child's name
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Your answer
Child's Date of Birth
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MM
/
DD
/
YYYY
Caregiver's name
*
Your answer
Contact phone number
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Your answer
Email:
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Your answer
I give permission for my child to participate in a screening with Speech Language Associates
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yes
Do you have any concerns with
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Speech and language (general communication, speaking, listening, following directions, etc.)
Play and/or social skills
Literacy (i.e., learning the alphabet, rhyming, colors, shapes, etc.)
Feeding (i.e., picky eating, sensory issues, mealtime challenges, etc.)
Required
Please provide any necessary information related to your concerns:
*
Your answer
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