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Please fill out this form to the best of your ability. If you have any questions, please call us at 910-673-5437.
We are required by the governing board for Speech Language Pathology to
inform our clients if a Speech Language Pathology Assistant may be
working with your child. This letter is to inform all our clients and
their families that your child’s speech and language services may be
provided by a Speech Language Pathologist Assistant. All our Assistants
have completed an accredited two-year Speech Language Pathology
Assistant college program and are registered with the NC Board of Speech
Language Pathology. All SLPA’s are closely supervised by a licensed
Speech Language Pathologist. Please sign this form below for inclusion
into your child’s records. Feel free to contact us at our office should
you have any questions or concerns at the above listed phone number. I
have read and acknowledge the above listed information.