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 email@example.com 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 therapy (including physical therapy, occupational therapy, or other speech services).
PLEASE RETURN THIS INFORMATION TO YOUR THERAPIST BEFORE YOUR INITIAL APPOINTMENT