Forms

This section is for when you have already made contact with Carolyn and discussed an appointment.

  • Before your appointment, you will be asked to download this Background Information Form to complete, sign and return to Carolyn at least 3 days prior to your appointment. You can complete it electronically on your computer, or you can print it out and fill it in manually. The information you provide will be used to help make a plan to help your child.
  • You will also be required to sign this Informed Consent Form. You will need to read these documents prior to signing the consent form:
  1. Service Overview
  2. Teletherapy Information
  3. Teletherapy Consent
  4. Privacy Policy

Once you have read the above links / documents, please forward your completed Background Information Form and signed Informed Consent form to Carolyn by email, or you can contact Carolyn at thespeechgrove@gmail.com for details on how to submit your completed signed forms by post.

It may be necessary for Carolyn to liaise with or refer your child to another service. In this case, please complete this Consent Form to Contact Other Professionals and forward it to Carolyn.

If your child is attending for individual communication therapy with video feedback, or if you are attending the Hanen More Than Words Parent Programme, you will also need to fill in, sign and send back this Video Consent Form.