Free Event Occupational therapy and Speech Therapy Screening 
Thank you for your interest! 
March 12th 1:00-5:00 pm ; March 15th 1:00-5:00 pm
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Parent's name  *
Child's Name  *
Child's Date of Birth 
Phone number  *
Email *
Briefly describe your concerns or what you would like to get out of the screening :  *
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