By initialing below you are confirming that all parties who have legal guardianship and/or medical decision making for your child have been notified of the initial intake appointmentat KidSpeak Speech and Language Services. Furthermore, you agree that you will inform all legal guardians of any future correspondence (written or verbal) from KidSpeak Speech and Language Services administration, therapists, orbilling/insurance department, including but not limited to: appointment reminders, therapy updates, billing and insurance inquiries, documentation requests, evaluation results, and closings/cancellations. Guardians are responsible for keeping each other informed when both parties are not present at appointments. KidSpeak Speech and Language Services staff and therapists will communicate with the primary contact or the person who is present at the appointment. Additional consultations outside of regular appointment times can be scheduled with the front desk and are subject to a consultation fee.