I understand that I may revoke this consent at any time by requesting to revoke consent in writing and delivering the request to Wee Speech, P.C., 8707 Skokie Blvd., Ste. 402, Skokie IL 60077. Revoked consent will be honored except to the extent that the action has been taken thereon. If consent is revoked, and in the event your child has a medical emergency while in the care of a Wee Speech, P.C. employee, Wee Speech will no longer administer any preventative treatment or medication and will require a caregiver to be present to follow the protocol in the event a medical emergency should occur while receiving services from Wee Speech, P.C. I further understand that this consent will expire when services with Wee Speech, P.C. are terminated.