Fall Scheduling 2026/27

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Client Name
First Name
Last Name
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Child/Young Adult's Date of Birth
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Month
Day
Year
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Your child's therapist (select multiple if applicable)
Shaina
Brianna
Kristina
Nicole
Blaine
I'm not sure
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Parent/Guardian Email
example@example.com
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Sessions Per Week
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Type a question
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Type a question
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Connections Club

These classes may be eligible for reimbursement through self-direction. They are not speech-language therapy and do not provide individualized assessment, treatment, or remediation of communication disorders. Rather, they offer participants opportunities to learn, practice, and generalize functional participation skills alongside peers through engaging, recreational activities in naturalistic settings.
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PEERS Program

The Program for the Education and Enrichment of Relational Skills (PEERS®)is a 16 week course offering evidence-based social skills programming for youth and adults who are struggling socially.
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I have tried my best to keep your rates stable since 2024. However, due to a significant increase in overhead costs, the rates will be increasing beginning as of September 1st as follows.

30-Minute individual session- $125
45-minute individual session- $159 (currently $153)
60-minute individual session- $212 (currently $204)

If this rate increase causes a hardship, please reach out to me to discuss your options. If you are an Early Intervention client, school district client, or do not currently pay the rates in parenthesis, please disregard.
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Please sign below to acknowledge and the accept rate increase.
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Consistent attendance is so important to your child’s success. Please carefully review the attendance policy as follows: No-show appointments will be billed at the session rate. If you arrive late to a session, the session will still end at the originally scheduled time, and you will be billed the full session rate. If your child is feeling unwell the day prior to their session, please cancel your child’s session as soon as possible. In the event you are unable to give notice, two (2) grace days are allotted at the commencement of the fall schedule. These days will be used for same-day cancellations, and you will not be billed for these sessions. We understand that obligations arise from time to time, such as school events, doctors’ appointments, etc. If non-health-related cancellations exceed once per month, the office reserves the right to discuss discharging your child. This policy does not apply to holidays or planned vacations.
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Please sign to acknowledge and agree to the attendance and cancellation policy.
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