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The Kids' Communication Center

Fall Schedule Form

Please complete this form so that we may determine your fall schedule preferences. We will do our best to accommodate you.

Note that we continue to offer teletherapy sessions and to provide services at select schools. We also continue to offer weekly social/language and reading groups. 

Soon after we receive your response, we will E-mail you a proposed time slot for fall. Time slots will be offered as forms are received, and they tend to fill up fast, so please respond as soon as possible.
Please rank days Monday through Friday on a scale from 1-5, where 1 is most preferred and 5 is least preferred for your weekly time slot. 
 
Please indicate any/all time slots that could work for sessions on a weekly basis.
 
Monday
 
Tuesday
 
Time slot options:
Wednesday
 
Thursday
 
Friday
 

Thanks for submitting!

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