Book an Appointment

Client Background Information


Please complete the Client Background Information form below. Once completed and submitted, our clinic director will review the information within a timely manner. You will be contacted by one of our team members shortly to book your appointment.

Feel free to call us directly to book an appointment at 403-455-4072

Speech and Language History

Does your child understand:

Selected Value: 0
Selected Value: 0
Selected Value: 0

Hearing

Social/Play History

Motor and Sensory History

Prenatal and Birth History

Education