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Get Speech Therapy Consent Form

CONSENT FORM I agree to have my child, , receive a speech language therapy evaluation and/or treatment. I would like my child to receive therapy at home / daycare (please circle). CONFIDENTIAL RELEASE.

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How to fill out the Speech Therapy Consent Form online

Completing the Speech Therapy Consent Form online is a straightforward process that ensures your child receives the necessary evaluation and treatment. This guide provides clear steps to navigate the form effectively, promoting a smooth experience for all parents and guardians.

Follow the steps to successfully fill out the Speech Therapy Consent Form online.

  1. Click the ‘Get Form’ button to access the Speech Therapy Consent Form and open it in your preferred editor.
  2. In the first section, clearly write your child's name in the provided space, indicating who will receive the speech language therapy evaluation and/or treatment.
  3. Next, indicate where your child will receive therapy by circling either 'home' or 'daycare' as applicable.
  4. For the confidentiality section, fill in the child's name again in the space provided beside 'pertinent information concerning'.
  5. Authorize Advantage Speech Therapy Services, Inc. to manage information by signing your name in the designated area for the parent/guardian.
  6. Date the form by entering today's date in the provided field.
  7. Once you have filled out all required fields, review the form for accuracy, then proceed to save changes, download a copy, print it, or share it as needed.

Complete your documents online to ensure timely therapy for your child.

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