Spell to Communicate Rx Interest Form

Intake form for Spell to Communicate Rx Lessons
Are you looking for a way to help your non-speaking or unreliably speaking child, teen, or adult communicate more effectively?

I’m currently in training as a Spelling to Communicate (S2C) Practitioner and am seeking 3 more practice clients who meet one or more of the following profiles:

✅ Age 8 or under (“Little”)
✅ Age 18+ (Adult)
✅ Has significant visual needs (tracking, low vision, etc.)
✅ Highly anxious (including self-injurious behaviors)
✅ Complex motor needs (beyond apraxia)
✅ Unreliably speaking
✅ Highly kinesthetic (difficulty sitting still; high movement needs)
✅ Highly tactile (touch-seeking, grabbing)

📍 All sessions will take place in person at:
16721 Orchard Stone Run, Suite ___
Charlotte, NC 28277 (Next to Lorenzo’s Pizzeria 🍕)

🧠 What is Spelling to Communicate (S2C)?
S2C is a motor-based communication method that supports individuals with apraxia and other complex communication needs to express themselves by spelling on a letterboard. It builds communication, literacy, and independence while presuming competence and honoring the intelligence of every learner.

👉 Learn more from I-ASC:
🔗 https://i-asc.org (https://i-asc.org/)

👋 Who am I?
I’m Dr. Denise Simonelli—an educator, dyslexia specialist, and now an S2C Practitioner in Training. I’m passionate about empowering neurodivergent learners through motor-accessible, literacy-rich, and trauma-informed instruction.

📍In 2026, I’ll be launching Spell to Communicate Rx at The Reserve, a nonprofit retreat-style learning center located on my 2.3-acre property in Waxhaw, NC. It will serve families through 1:1 S2C, nature-based regulation, parent coaching, and small-group education.

This is just the beginning—and I’d be honored to walk alongside your family on this journey. 💬✨

#S2C #SpellingToCommunicate #ApraxiaSupport #NeurodivergentVoices #NonSpeakingNotNonThinking #CharlotteNC #SpellToCommunicateRx #PresumeCompetence
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Intake form for Spell to Communicate Rx Lessons

Student Information

Parent Information

Student Residence Information

Parent/Guardian 1 Residence Information (if different from above)

Parent/Guardian 2 Residence Information (if different from above)

Emergency Contact 1

Emergency Contact 2

Physician and Medical Information

Previous School

Notes