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Child Speech Therapy - Clinic Policies/Child & Adolescent Intake Questionnaire/Clinic Wellness Policy/HIPAA Notice of Privacy Practices
Patient Information
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Patient's Full Name:
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What is your main concern about your child’s speech?
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Has your child had any prior evaluations or therapy to address his/her speech? If so where?
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What are your child’s greatest strengths? What are your child’s interests, hobbies, and favorite activities?
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