INTAKE FORM

Ready to enroll?
We hope to meet you soon

Thank you for your interest in our Speech Pathology services. Please note that we do have a long waiting list however we still encourage you to enquire. 

The process

01

Fill in the intake form

Please fill in the intake form below to be added to our waiting list. You will be notified if we can no longer accept new referrals due to excessive wait times.

02

Initial appointment

When your child's name reaches the top of the wait list, a member from our team will contact you to arrange an initial appointment.

03

Assessment and therapy

Your friendly speech pathologist will arrange an assessment/s if warranted and intervention will begin.

dallas hume speech pathology
dallas hume speech pathology
dallas hume speech pathology

Intake Form

Please note:

  • There is very limited afterschool appointments
  • We currently do not accept agency-managed clients