Level Up Speech Pathology Inc.                      Interest in Speech & Language Screening (K-8)
Thank you for your interest in a speech and language screening from Level Up Speech Pathology Inc. Screenings are offered at the clinic office or virtually. They will take about 15 minutes to complete with 10 minutes consultation about the results. Please fill out the following form and we will get back to you with a date and time. Currently, screenings are only offered Friday afternoons and Saturdays by appointment only.
Thank you! 

Paul I. McGill, M.A., CCC-SLP
Speech-Language Pathologist

Level Up Speech Pathology Inc. 
19712 MacArthur Blvd. Suite 110
Irvine, CA 92612 
levelupspeech@gmail.com 
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone number *
What grade is your child in? (Screenings are for currently for students Kindergarten to 8th Grade) 
Please select where you would like to have the screening: 
Please select the following concerns you have:  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy