New Patients
For all new patients, complete and return either the In-Person or Teletherapy Appointment contract at least two working days before your child’s initial appointment.
Please retain the other files for your reference.
In-Person Appointment
Teletherapy Appointment
Feeding Assessment
For all new feeding patients, in addition to the New Patient forms above, complete and return the Feeding Assessment Forms at least two working days before your child’s initial appointment.
Download Feeding Assessment Forms
For information about what to expect during a feeding assessment, click here.
Additional Feeding Forms
Only complete the additional feeding forms below if requested:
Communication Assessment
For all new communication patients, in addition to the New Patient forms above, complete and return the Communication Registration Form at least two working days before your child’s initial appointment.
Communication Registration Form
For information about what to expect during a communication assessment, click here.
Communication Matrix
Complete the Communication Matrix only if requested.
Directions: Click on ‘Try It’ on the upper left of the Communication Matrix About page and answer the questions in the pop-up window. You do not need to register. Once you have finished the questionnaire, please screen shot or print the Communication Levels grid displayed at the end of the questionnaire as well as the Skills List (link on upper left of page) and email these to South Lakes Speech & Language Therapy.
If you are not able to complete the Communication Matrix on a computer or laptop, please let your therapist know so that the two of you can complete it together.
Screening Forms
Pragmatics
Complete the forms below only if requested.
Pragmatic Communication Screening M-CHAT-RF
Language
Complete one of these forms only if requested.
Consent Forms
Complete these forms only if requested.
Photography and Recording Consent