Dear Parent or Guardian,
Please make sure you have at least 20 minutes available to complete this form. Please email copies of the following documents to your therapist or to firstname.lastname@example.org or fax them to (503) 893-3063:
Speech-language evaluations, hearing tests, recent medical physical, and/or relevant medical evaluations (e.g., autism diagnosis).
Goals that are currently/were previously targeted in speech therapy.
PLEASE RETURN THIS INFORMATION TO YOUR THERAPIST BEFORE YOUR INITIAL APPOINTMENT