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Pediatric Speech Therapy Policy Agreement Form
Thank you for allowing us to provide our quality speech therapy services to your child. We are so excited that you have trusted us with your child's care. Due to our extensive waiting list for speech therapy services, we require a full commitment from our parents and guardians when enrolling the child into speech therapy. To continue providing our quality services, to you, we ask that you please indicate that you have read and understand the terms of our office policy by signing and dating at the bottom of the page. If you have any questions about our policy, before signing this document, please feel free to ask us and we will be happy to answer any questions that you may have.
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