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The Kids' Communication Center

Providing pediatric speech-language therapy in the DC Metropolitan area

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New Client Packet

Please complete the following forms prior to your evaluation or first session at The Kids' Communication Center.

Child's First Name

Child's Middle Name

Child's Last Name

Child's First Name

Child's Middle Name

Child's Last Name

By entering my name below, I authorize The Kids' Communication Center to screen my child and exchange information with the parents and my child's school.

Thanks for submitting!

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Contact us:

202-237-7079

Find us:

4906 Wisconsin Ave., NW

Washington DC 20016

laura@thekidscommunicationcenter.com

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