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WEST COAST SPEECH AND LANGUAGE GROUPS
Registration
If you are interested in joining our groups, we would be happy to have you. Please fill out the information below. Once we receive your availability, one of our SLPs will be in touch with you in order to organize a 1:1 group intake meeting.
Group Application and Availability
*
Indicates required field
You are
*
An existing client
A new client
Your name
*
e.g. Sue and Bob Clarkson
The person coming to group and their age
*
e.g. our son, Mark Markson, 6 yrs old
Name of the group or SLP you are interested in:
*
(if applicable)
Goals you want to focus on in group
*
e.g. We want Mark to work on expressive language, social skills, etc.
Please list all the times you can come in, Mon to Sat
*
e.g. Mondays 3-5pm, Wednesdays 4-7pm, Saturdays 11:30-3pm, etc.
Your Email
*
Your Phone Number:
*
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Home
Current Groups
Summer
Register
My Group