New Client?

***Please complete the Intake Form and Teletherapy Permission Form listed below in order for us to process your child accordingly. Please fill out the Teletherapy Permission form even if you are not a virtual client. This form just keeps the option of virtual therapy open to you in the event necessary. 

To be evaluated at First Words, you will first need a recent hearing test (last 6 months) and a school IEP (if applicable). Please be aware,  if you cancel your initial evaluation less than 24 hours in advance, you will be put on a waiting list. It may take 2-4 weeks to reschedule. We will contact you within 2-3 days to follow up.

***Complete el formulario de admisión y el formulario de permiso de teleterapia que se enumeran a continuación para que podamos procesar a su hijo en consecuencia. Complete el formulario de permiso de teleterapia incluso si no es un cliente virtual. Este formulario solo le mantiene abierta la opción de terapia virtual en caso de que sea necesario.

Para ser evaluado en First Words, primero necesitará una prueba de audición reciente (últimos 6 meses) y un IEP de la escuela (si corresponde). Tenga en cuenta que si cancela su evaluación inicial con menos de 24 horas de anticipación, se lo colocará en una lista de espera. La reprogramación puede demorar de 2 a 4 semanas. Nos comunicaremos con usted en un plazo de 2 a 3 días para realizar un seguimiento.

English Forms: 


Spanish Forms:



Existing Client?
 

***If another facility will be requesting information from First Words be sent to them, you must fill out our Release of Information Form giving us permission to give them your information. 


***You may be asked to fill out the Teletherapy Permission Form. This form is not only for virtual clients, but it keeps the option of virtual therapy open for you in the event necessary.  




English Forms:


Spanish Forms:
 




Covid Questionnaire/Sign-in

***This is the link to the Covid Questionnaire/ Sign-In. This is the QR Code that is posted on the door at First Words. Please fill out this form before every appointment. You can either scan the QR code when you arrive or navigate to the form from here before every appointment. 

Covid Questionnaire/ Sign-In







“My family and I are extremely pleased with the services my son receives from First Words Speech. In as little as six months my son has made tremendous progress. The entire staff is always welcoming and inviting at every encounter. I would recommend First Words Speech Services to anyone …”

Extremely Thankful, The Radford Family