Welcome to Dynamic Pediatric Speech Therapy, LLC. We work in partnership with you and your family to support your child’s needs. I am excited and looking forward to working with you and your family.
Please call the office to schedule an appointment, and then complete the FORMS to bring with you to the appointment.
THE INFORMATION BELOW IS NECESSARY:
a. A prescription from your Primary Care Physician
b. Any information on previous evaluations or treatments received
c. Medical/Background Information Form
d. Parent Consent Form
e. Notice of Privacy Practices Form
f. Current copy of your insurance card (front and back)
g. Current copy of IFSP/IEP if applicable