Book Your Speech Consult

About Us
Speech Therapy Services
- Early Intervention
Testimonials
FAQ
Contact

About Us
Speech Therapy Services
- Early Intervention
Testimonials
FAQ
Contact

📅 Book Your Speech Consult Today!

Our speech consultation is a one-on-one meeting with a licensed pediatric speech–language pathologist. This session is designed to help parents understand their child’s unique communication needs through observation and discussion. While it doesn’t include formal testing, the consultation provides expert insight and personalized recommendations that guide your next steps — whether that’s beginning therapy or simply gaining peace of mind. The session is relaxed, informative, and tailored to help you feel confident about what to do next.

Parent/Guardian Full Name(Required)

First Last

🔒 Important Notice About Your Privacy

I agree to the privacy policy.

Please do not share any sensitive or personal health information on this form.
SpeechAve uses a dedicated, HIPAA-compliant client portal for all confidential intake and communication.

Once we receive your request, we’ll provide a secure link to complete your intake safely.

Parent/Guardian Email(Required)

Parent/Guardian Phone

👶 Child’s Age

Child’s Age (in years)

🧠 Speech & Developmental Concerns

Not talking yet

Hard to understand

Limited vocabulary

Trouble following directions

Not responding to name

Late with speech milestones

What are your current concerns? (Please select any that apply)

📅 Appointment Preferences - Preferred Method:

In-Person

Virtual/Online (HIPPA Complaint)

What are your current concerns? (Please select any that apply)

📅 Appointment Preferences - Preferred Time Slot:

Morning

Afternoon

Evening

What are your current concerns? (Please select any that apply)

📄 Has your child had a hearing screening?

📄 Has your child received any previous evaluations or therapy?

🗣️ Do you have any additional concerns or observations you'd like to share about your child's communication skills?

This could include anything about how your child speaks, listens, plays, interacts with others, or expresses their needs.

💡 Optional - Would you like to receive a free developmental milestone checklist?

No

Yes

✅ Consent & Submission

I consent to be contacted by SpeechAve for scheduling and follow-up

Officially PROMPT-trained and certified to support speech-language development.

Proudly certified by the American Speech-Language-Hearing Association (ASHA).

Certified by The Hanen Centre to support language and communication skills.