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Virtual Milestone Academy
Welcome! I’m so glad you’re here.
This form helps me understand your needs, so we can choose the best next step together. I look forward to connecting!
All answers are confidential and reviewed personally by Megan Cawlfield, MS CCC-SLP, C-SLDI
.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Phone Number
Your answer
City, State
Your answer
How do you prefer to be contacted?
*
Please Text Me
Please Email Me
Please Call Me
What can I help you with?
Schedule a 15 Chat
Schedule an Evaluation
Schedule Tutoring
Other:
Please List Concerns
Reading Fluency
Spelling
Memory
Rapid Naming
Planning /Organizing
Reading Comprehension
Letter Reversals
Vocabulary
Grades
Test Taking
Self Esteem
Speaking
Communication
Timeframe for beginning services
Immediately/Urgent Need
Within the next 2 weeks
Within the month
This semester
This year
Next year
I don't know; I am looking into more information
A copy of your responses will be emailed to the address you provided.
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