The Neuro SLP 1:1 Coaching INTAKE FORM
Hey there! 

I’m so glad you’re here. You being here means you want a CHANGE in your SLP career. Maybe you want to be more FUNctional and Person Centered in your therapy; maybe you want more efficient documentation; maybe you don't know what exactly you need but you know you need something. 

I get it…… and there’s HOPE.

During my 1:1 SLP Coaching Calls, I help Speech Language Pathologists strive to be BETTER in their clinical practices. Don't you deserve that? Don't your patients deserve that, too?

So far, I've helped dozens of Speech Language Pathologists (just like yourself) become better at:

- creating functional and affordable therapy ideas
- writing person-centered goals
- documenting quickly and concisely 
- providing patient and family education
- developing individualized home programs
- forming resource libraries


Whether you’re a student, new grad, or a seasoned SLP, I’d love to HELP YOU. If you’re ready to get started:

Step 1: Answer the questions below so I can get to know you better. 
Step 2: Use this CALENDAR to book your 1 HOUR timeslotwww.calendly.com/theneuroslp

Can’t wait to connect wit you :-)

- Dana (The Neuro SLP)
danatheneuroslp@gmail.com


***Prices $75/hour for students; $100/hour for SLPs
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Contact Info (All 3 required: Name , Email, Phone #) *
Level of Speech Language Pathology *
Work Setting *
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(OPTIONAL) What are areas/skills of Speech Language Pathology are you LEAST confident in?
(OPTIONAL) What are you hoping to achieve MOST with our 1:1 coaching sessions?
I acknowledge that AFTER completing this form,  I can visit www.calendly.com/theneuroslp to book my 60 minute SLP Coaching Call. *
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I acknowledge that I will be billed PRIOR to my 1 HOUR Coaching Call and that payment ($75/hour for students; $100/hour for SLPs) is due in full by time of call.  *
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Preferred Payment Method  *
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