Please complete our brief intake form:

This information will give us a better idea of how to provide the best care for your child. It is important that you complete to the best of your ability. If you have questions, feel free to email us at:

Has child had hearing checked?
Does child have related disorder?
Method of Payment


Pediatric Speech and Educational Therapy Clinic

5801 Marvin D Love Fwy Ste 310

Dallas, Texas 75237

Tel: (469) 619-7232


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© 2020 by Jargon Group, LLC