Speech Language Screen Permission

Speech Language Screen Permission

This form gives Amanda Reffitt, Tabitha Camp, and/or Mary Keaton Jackson permission to screen your Cathedral Preschool student for speech and language development, Sept/Oct 2023.

Child's Name
Has your child ever received speech or language therapy?
Do you have any comments or special concerns you would like to share with the screener?
Name
This field is for validation purposes and should be left unchanged.