Evaluation Request Form | Alyssa O'Leary Speech Therapy

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Evaluation Request Form

Intake Form

Please fill out all required information below.

*First name:

*Last name:

*Email

*Phone

*Insurance

*Child's full name

*Main concerns:

Please include current/past services, school concerns/IEP/504, and what prompted you to seek an evaluation.

*Preferred date (Fridays only)

Evaluations are currently only offered on Fridays form 3:30-5:30 or 4:30-6:30

*Choose preferred time:

3:30pm - 5:30pm

4:30pm - 6:30pm

Get in Touch

24 Allen Road, Sturbridge, MA 01566

Fluency (commonly known as stuttering)

Speech Therapy Areas:

Office Hours

978-233-3661

Articulation (speech sounds/how someone says words)

Mon – Fri: 3:30PM – 6:30 PM

alyssa@alyssaolearyslp.org

Language (words someone is saying/using/understands)

@alyssaolearyslp

Pragmatics (social language - use & understanding)

Augmentative and Alternative Communication (AAC)

Serving families in Sturbridge and nearby Central MA communities, including Charlton, Dudley, Auburn, Brookfield, East Brookfield, North Brookfield, West Brookfield, Monson, and Brimfield (and teletherapy across MA). As well as neighboring CT towns, including Thomspon, Woodstock, Putnam, North Grosvenordale, Killingly, Brooklyn, Plainfield, and Canterbury.

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