Get in Touch — Jan Alejado Speech Services

Please fill out the following fields so that I have a better idea of the services required. I’ll get in touch with you as soon as possible.

Name of parent or guardian

First Name

Last Name

Email of parent or guardian

Client's name

How old is the prospective client?

Is the prospective client diagnosed with a disability that impacts his/her language processing and/or communication skills? If so, what is it?

Has this client been receiving speech services? If so, for how long?

Has the client received a speech evaluation before? If so, when?

In addition to English, what other language(s) are spoken in the client's environment?

Is the client also receiving other related services (e.g., occupational therapy, physical therapy, counseling, etc)?

In 2-3 sentences, please explain what you are looking for with speech services.