Speech-Language History
Child's Full Name
Please describe your child's communication difficulties:
Has your child previously received treatment?
If yes when and where:
Is your child aware or frustrated/anxious about these difficulties?
Clear selection
How does your child prefer to communicate?
Please share an example of a typical sentence said by your child.
What is the total number of words your child has in their vocabulary?
Clear selection
Please Identify those behaviors your child demonstrates consistently
Clear selection
Please list any speech errors your child may use (i.e. says /w/ for /r/, can't say /th/)
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